Tau-binding antibodies

ABSTRACT

The present invention relates to Tau-binding antibodies and binding fragments thereof.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. application Ser. No.15/742,070, filed Jan. 5, 2018, now U.S. Pat. No. 10,344,081, which isthe U.S. national stage application of International Patent ApplicationNo. PCT/EP2016/065809, filed Jul. 5, 2016.

The Sequence Listing for this application is labeled “Seq-List.txt”which was created on Jan. 4, 2018 and is 79 KB. The entire content ofthe sequence listing is incorporated herein by reference in itsentirety.

FIELD OF THE INVENTION

The present invention relates inter alia to therapeutic and diagnosticTau-binding antibodies and binding fragments thereof, methods of makingsuch antibodies and their use for treating and/or diagnosing tauopathiessuch as Alzheimer's disease; Amyotrophic lateralsclerosis/parkinsonism-dementia complex; Argyrophilic grain disease;Chronic traumatic encephalopathy; Corticobasal degeneration; Diffuseneurofibrillary tangles with calcification; Down syndrome; FamilialBritish dementia; Familial Danish dementia; Frontotemporal dementia andparkinsonism linked to chromosome 17 caused by MAPT mutations;Gerstmann-Sträussler-Scheinker disease; Guadeloupean parkinsonism;Myotonic dystrophy; Neurodegeneration with brain iron accumulation;Niemann-Pick disease, type C; Non-Guamanian motor neuron disease withneurofibrillary tangles; Pick disease; Post-encephalitic parkinsonism;Prion protein cerebral amyloid angiopathy; Progressive subcorticalgliosis; Progressive supranuclear palsy; SLC9A6-related mentalretardation; Subacute sclerosing panencephalitis; Tangle-only dementia;White matter tauopathy with globular glial inclusions (Clavaguera et al.Brain Pathology 23 (2013) 342-349). The present invention also relatesto methods of treating a human subject suffering from or being suspectedto be prone to tauopathies described above, in particular tauopathiessuch as Alzheimer's disease and progressive supranuclear palsy.

BACKGROUND OF THE INVENTION

Alzheimer's disease (AD) and progressive supranuclear (PSP) areneurodegenerative diseases with high medical unmet needs, high cost forthe societies' health systems, and high burden for the familiesaffected. AD clinical signs include loss of memory, cognition,reasoning, judgment and emotional stability and ultimately death. PSPinvolves serious and progressive gait control and balance issues, falls,vertical eyes movement disturbances, cognitive problems, depression,apathy, and mild dementia. Late symptoms include blurring of vision,uncontrolled eye movement, slurred speech, difficulty swallowing anddeath.

For more than a decade AD disease modification programs have targetedthe amyloid-beta-peptide through various mechanisms. In contrast, muchless progress has been made in addressing intracellular Tau pathology,the second major hallmark for AD. Neurofibrillary inclusions or tanglescontaining aggregated, hyperphosphorylated Tau are definingcharacteristics of AD pathology and a number of other tauopathies,including PSP.

In these diseases there is a strong correlation between symptomaticprogression and the level and distribution of intraneural Tauaggregates. In AD neuronal Tau tangles first appear in thetransentorhinal cortex, from where they spread to the hippocampus andneocortex. The tangles observed in AD neurons consist ofhyperphosphorylated, aggregated insoluble Tau. Direct toxic effects ofthe pathological Tau species and/or loss of axonal transport due tosequestration of functional Tau into hyperphosphorylated and aggregatedforms, which are no longer capable of supporting axonal transport, havebeen proposed to contribute to the disease.

In its non-pathological state, Tau is a highly soluble cytoplasmicmicrotubule-binding protein, which occurs in the human central nervoussystem (CNS) in 6 main isoforms due to alternative splicing, rangingfrom 352 to 441 amino acids in length. These isoforms can have zero, oneor two N-terminal inserts (0N, 1N, 2N), and either three or fourC-terminal “repeat” sequences (3R or 4R). These 30-32 amino acidC-terminal repeat sequences, R1, R2, R3 and R4, together constitute theTau microtubule-binding region (MTBR). Indeed the main role of Tau isbelieved to be in the assembly and stabilization of axonal microtubules.Microtubules form tracks for axonal transport and cytoskeletal elementsfor cell growth (Clavaguera et al., Brain Pathology 23 (2013) 342-349).Three Tau isoforms have been demonstrated to contain three microtubulebinding regions (MTBR):

-   -   isoform 4, also referred to as 3RON, NCBI Reference Sequence        NP_058525.1 (352 amino acid),    -   isoform 7, also referred to 3R1N, NCBI Reference Sequence        NP_001190180.1 (381 amino acid),    -   isoform 8, also referred to as 3R2N, NCBI Reference Sequence        NP_001190181.1 (410 amino acid).    -   Whereas the other three Tau isoforms contain four MTBRs:    -   isoform 2, also referred to as 4R2N, NCBI Reference Sequence        NP_005901.2 (441 amino acid),    -   isoform 3, also referred to as 4R0N, NCBI Reference Sequence        NP_058518.1 (383 amino acid), and    -   isoform 5, also referred to as 4R1N, NCBI Reference Sequence        NP_001116539.1 (412 amino acid).

Tau contains 85 potential serine (S), threonine (T), and tyrosine (Y)phosphorylation sites. Many of the phosphorylated residues on Tau arefound in the proline-rich domain of Tau, flanking themicrotubule-binding domain. All six Tau isoforms are present in normalmature human brain, and at this stage Tau phosphorylation is relativelyreduced (Noble et al., 2013 Front Neurol. 2013; 4: 83). In the varioustauopathies, deposited Tau in pathological lesions is invariably highlyphosphorylated. Phospho-Serine202 and phosphor-Threonine205 have beendetected in aggregated Tau from brain samples and cerebrospinal fluidfrom PSP and AD patients (Buée et al., Brain Research Reviews 33 (2000)95-130; Wray et al J Neurochem. 2008 Jun. 1; 105(6):2343-52; Hanger etal., J Biol Chem. 2007 Aug. 10; 282(32):23645-54; Maccioni et alNeurobiol Aging. 2006 February; 27(2):237-44).

Only symptomatic treatments are currently available for these diseaseswith mild or no efficacy. No treatment is currently available forslowing or ideally stopping the development of the disease. Thereforethere remains a need in the art for new compounds and compositionsuseful in the treatment of tauopathies.

OBJECTIVES AND SUMMARY OF THE INVENTION

It is an objective of the present invention to inter alia provide agentsfor treating or diagnosing tauopathies such as Alzheimer's disease (AD)or progressive supranuclear palsy (PSP). Further, it is an objective ofthe present invention to provide inter alia methods of treating ordiagnosing tauopathies such as Alzheimer's disease (AD) or progressivesupranuclear palsy (PSP).

These and other objectives as they will become apparent from the ensuingdescription hereinafter are attained by the subject matter of theindependent claims. Some of the specific aspects and embodiments thereofcontemplated by the present disclosure form the subject matter of thedependent claims. Yet other aspects and embodiments thereof ascontemplated by the present disclosure may be taken from the ensuingdescription.

In a first aspect, the present disclosure provides an isolatedTau-binding antibody or binding fragment thereof, wherein saidTau-binding antibody or binding fragment thereof comprises

a light chain variable region comprising a CDR1 selected from SEQ IDNo.: 1 or sequences at least 90% identical thereto, a CDR2 selected fromSEQ ID No.: 2 or sequences at least 90% identical thereto, and a CDR3selected from SEQ ID No.: 3 or sequences at least 90% identical thereto;and/or

a heavy chain variable region comprising a CDR1 selected from SEQ IDNo.: 4 or sequences at least 90% identical thereto, a CDR2 selected fromSEQ ID No.: 5 or sequences at least 90% identical thereto, and a CDR3selected from SEQ ID No.: 6 or sequences at least 90% identical thereto.

In a second aspect, the present disclosure provides an isolatedTau-binding antibody or binding fragment thereof, wherein saidTau-binding antibody or binding fragment thereof comprises

a light chain variable region comprising SEQ ID No.: 7 or sequences atleast 80% identical thereto, and/or

a heavy chain variable region comprising SEQ ID No.: 8 or sequences atleast 80% identical thereto.

In a third aspect, the present disclosure provides an isolatedTau-binding antibody or binding fragment thereof, wherein saidTau-binding antibody or binding fragment thereof comprises

a light chain variable region comprising SEQ ID No.: 9 or sequences atleast 80% identical thereto, and/or

a heavy chain variable region comprising SEQ ID No.: 10 or sequences atleast 80% identical thereto.

In a fourth aspect the present disclosure provides an isolatedTau-binding antibody or binding fragment thereof, wherein saidTau-binding antibody or binding fragment thereof comprises

a light chain variable region comprising SEQ ID No.: 13 or sequences atleast 80% identical thereto, and/or

a heavy chain variable region comprising SEQ ID No.: 16 or sequences atleast 80% identical thereto.

In a fifth aspect the present disclosure provides an isolatedTau-binding antibody or binding fragment thereof, wherein saidTau-binding antibody or binding fragment binds to a phosphorylated Taufragment comprising amino acids 197 to 206 of SEQ ID NO: 55.

As an embodiment of the first and fifth aspect, the disclosure providesfor antibodies or binding fragments thereof, which can be chimeric,humanized or fully human antibodies or binding fragments thereof.

As an embodiment of the second or third aspect, the disclosure providesfor antibodies or binding fragments thereof, which can be chimericantibodies or binding fragments thereof.

As an embodiment of the fourth aspect, the disclosure provides forantibodies or binding fragments thereof, which can be humanizedantibodies or binding fragments thereof.

In a sixth aspect the present disclosure provides an isolatedTau-binding antibody or binding fragment thereof, wherein saidTau-binding antibody or binding fragment thereof competes for binding toTau with a Tau-binding antibody or binding fragment thereof of any ofthe first to fourth aspects and the embodiments thereof.

In a seventh aspect the present disclosure provides an isolatedTau-binding antibody or binding fragment thereof, wherein saidTau-binding antibody or binding fragment thereof binds to substantiallythe same epitope of Tau as a Tau-binding antibody or binding fragmentthereof of any of the first to fifth aspects and the embodimentsthereof.

As an embodiment of the sixth and seventh aspect, the disclosureprovides for monoclonal antibodies or binding fragments thereof, whichare humanized antibodies or binding fragments thereof.

Antibodies and binding fragments thereof of the first to seventh aspectsand the embodiments thereof are capable of binding to soluble forms ofhuman Tau, paired helical filaments (PHF) of human Tau or to bothsoluble forms of human Tau and paired helical filaments (PHF) of humanTau that comprise a phosphorylated Tau region within amino acids 197 to206 of SEQ ID NO: 55.

In an eighth aspect the present disclosure provides nucleic acidmolecules comprising nucleic acid sequences such as DNA sequences codingfor the heavy and/or light chain of an antibody or binding fragment ofthe first to seventh aspects and the embodiments thereof.

In a ninth aspect the present disclosure provides cloning or expressionvectors comprising these aforementioned nucleic acid molecules.

In a tenth aspect the present disclosure provides host cells comprisingthese afore mentioned nucleic acid molecules, cloning vectors orexpression vectors.

In an eleventh aspect the present disclosure provides methods ofproducing antibodies and binding fragments thereof of the first toseventh aspects and the embodiments thereof.

An twelfth aspect of the disclosure relates to the use of antibodies andbinding fragments thereof of the first to seventh aspects and theembodiments thereof for treating tauopathies such as in particular ADand PSP.

Another aspect of the disclosure relates to the use of antibodies andbinding fragments thereof of the first to seventh aspects and theembodiments thereof for diagnosing tauopathies such as in particular ADand PSP.

FIGURE LEGENDS

FIG. 1: Binding of AB1 having a rabbit VL sequence (VL_AB1) of SEQ IDNo.: 7 and a rabbit VH sequence (VH_AB1) of SEQ ID No.: 8 tobiotinylated T197 peptide versus binding to biotinylated peptides T174,T211, T230 and T396 in the ELISA assay of Experiment 2.3.

FIG. 2: Diagram illustrating the cellular aggregation assay ofExperiment 3.1.

FIG. 3: Efficacy of Tau-binding antibodies having a light chain of SEQID No.: 17 and a heavy chain of SEQ ID No.:20 (A), and of a Tau-bindingantibody having a light chain of SEQ ID No.: 17 and a heavy chain of SEQID No.:21 (B), or a negative control IgG4 antibody A33 (C) in a cellularTau aggregation assay using human Tau pathological fibrils recoveredfrom human PSP patients (PSP-PHF8) as seeds.

FIG. 4: Western blot showing binding properties of a Tau-bindingantibody AB1 having a light chain of SEQ ID No.: 9 and the heavy chainof SEQ ID No.: 10, to Tau-containing lysates from human AD, or PSP.

FIG. 5: A) depicts the donor VL of AB1 (VL_AB1) of SEQ ID No.: 7 withCDRs 1 (SEQ ID No.: 1), 2 (SEQ ID No.: 2) and 3 (SEQ ID No.: 53) beingunderlined. B) depicts the VL sequence of the human acceptor regionIGKV1-39 of SEQ ID No.: 44 with acceptor CDRs 1, 2, and 3 beingunderlined. C) depicts the CDR grafted sequence gVL4_AB1 of SEQ No.: 11with CDRs 1 (SEQ ID No.: 1), 2 (SEQ ID No.: 2) and 3 (SEQ ID No.: 53)being underlined. D) depicts the CDR grafted sequence gVL9_AB1 of SEQNo.: 12 with CDRs 1 (SEQ ID No.: 1), 2 (SEQ ID No.: 2) and 3 (SEQ IDNo.: 54) being underlined; CDR3 comprises a A91 mutation compared toVL_AB1.

FIG. 6: A) depicts the donor VH of AB1 (VH_AB1) of SEQ ID No.: 8 withCDRs 1 (SEQ ID No.: 4), 2 (SEQ ID No.: 5) and 3 (SEQ ID No.: 48) beingunderlined. B) depicts the VH sequence of the human acceptor regionIGHV4-39 of SEQ ID No.: 45 with acceptor CDRs 1, 2, and 3 beingunderlined. C) depicts the CDR grafted sequence gVH41_AB1 of SEQ No.: 14with CDRs 1 (SEQ ID No.: 4), 2 (SEQ ID No.: 5) and 3 (SEQ ID No.: 49)being underlined. Donor residues are shown in italic and bold: K71 andV78. Mutations in the framework are highlighted (E1). CDR3 comprises aN100Q substitution compared to VH_AB1. D) depicts the CDR graftedsequence gVH49_AB1 of SEQ No.: 15 with CDRs 1 (SEQ ID No.: 4), 2 (SEQ IDNo.: 5) and 3 (SEQ ID No.: 50) being underlined. Donor residues areshown in italic and bold (K71 and V78). Mutations in the framework arehighlighted (E1). CDR3 comprises a N100A substitution compared toVH_AB1.

FIG. 7: Efficacy of Tau-binding antibodies having a light chain of SEQID No.: 9 and a heavy chain of SEQ ID No.:10, and of a Tau-bindingantibody AT8 described in the literature as binding to an epitopecomprising phosphorylated residues 202 and 205 of SEQ ID NO: 55, or anegative control antibody 101.4 in a cellular Tau aggregation assayusing human Tau pathological fibrils recovered from human AD patients asseeds.

FIG. 8: Efficacy of Tau-binding antibodies having a light chain of SEQID NO: 17 and a heavy chain of SEQ ID NO:20 in a cellular Tauaggregation assay using human Tau pathological fibrils recovered fromhuman AD patients, or human PSP patients or human FTD patients as seeds.

DETAILED DESCRIPTION OF THE INVENTION

The present disclosure as illustratively described in the following maysuitably be practiced in the absence of any element or elements,limitation or limitations, not specifically disclosed herein.

The present disclosure will be described with respect to particularaspects and embodiments thereof and with reference to certain figuresand examples but the invention is not limited thereby.

Technical terms are used by their common sense unless indicatedotherwise. If a specific meaning is conveyed to certain terms,definitions of terms will be given in the following in the context ofwhich the terms are used.

Where the term “comprising” is used in the present description andclaims, it does not exclude other elements. For the purposes of thepresent disclosure, the term “consisting of” is considered to be apreferred embodiment of the term “comprising of”. If hereinafter a groupis defined to comprise at least a certain number of embodiments, this isalso to be understood to disclose a group which preferably consists onlyof these embodiments.

For the purposes of the present disclosure, the term “obtained” isconsidered to be a preferred embodiment of the term “obtainable”. Ifhereinafter e.g. an antibody is defined to be obtainable from a specificsource, this is also to be understood to disclose an antibody which isobtained from this source.

Where an indefinite or definite article is used when referring to asingular noun, e.g. “a”, “an” or “the”, this includes a plural of thatnoun unless something else is specifically stated. The terms “about” or“approximately” denote an interval of accuracy that the person skilledin the art will understand to still ensure the technical effect of thefeature in question. The term typically indicates deviation from theindicated numerical value of ±10%, and preferably of ±5%.

It is to be understood that any reference to a Tau-binding antibody orbinding fragment thereof as a preferred embodiment of the variousaspects contemplates monoclonal Tau-binding antibodies or bindingfragments thereof.

For various aspects the present disclosure mentions antibodies andbinding fragments thereof comprising CDRs and variable regions of therespective light chain and/or heavy chain regions. Antibodies or bindingfragments thereof comprising just a variable light chain region orvariable heavy chain region may be useful e.g. for methods ofmanufacturing or e.g. for screening for variable regions that caneffectively associate with a corresponding other variable region. It is,however, to be understood that wherever reference is made to antibodiesand binding fragments thereof comprising CDRs and variable regions ofthe respective light chain and/or heavy chain regions, this alwayscontemplates as a preferred embodiment antibodies and binding fragmentsthereof comprising CDRs and variable regions of the respective lightchain and heavy chain regions.

As used herein, the terms “treatment”, “treating” and the like, refer toobtaining a desired pharmacologic and/or physiologic effect. The effectmay be prophylactic in terms of completely or partially preventing adisease or symptom thereof and/or may be therapeutic in terms of apartial or complete cure for a disease and/or adverse effectattributable to the disease. Treatment thus covers any treatment of adisease in a mammal, particularly in a human, and includes: (a)preventing the disease from occurring in a subject which may bepredisposed to the disease but has not yet been diagnosed as having it;(b) inhibiting the disease, i.e., arresting its development; and (c)relieving the disease, i.e., causing regression of the disease.

A reference to a Tau-binding antibody or binding fragment thereof as “atherapeutically active agent” refers to the use of a Tau-bindingantibody or binding fragment thereof in the treatment of a disease.

A “therapeutically effective amount” refers to the amount of aTau-binding antibody or binding fragment thereof that, when administeredto a mammal or other subject for treating a disease, is sufficient toeffect such treatment for the disease. The therapeutically effectiveamount will vary depending on the Tau-binding antibody or bindingfragment thereof, the disease and its severity and the age, weight,etc., of the subject to be treated.

A reference to a Tau-binding antibody or binding fragment thereof as “adiagnostically active agent” refers to the use of a Tau-binding antibodyor binding fragment thereof in the diagnosis of a disease.

A “diagnostically effective amount” refers to the amount of aTau-binding antibody or binding fragment thereof that, when used in adiagnostic test on a biological sample is sufficient to allowidentification of a disease or of monitoring the amount of diseasetissue as a means of monitoring the efficacy of therapeuticintervention.

The present application is based in part on the identification of anantibody designated AB1 that binds human Tau. As is customary in thefield, Tau residue numbering in this text refers to Tau isoform 2 of SEQID No.: 55 (NCBI reference sequence: NP_005901.2). As will be laid outhereinafter AB1, which was isolated from an immunized rabbit, andrecognizes a phosphorylated Tau region within amino acids 197 to 206 ofSEQ ID No.: 55.

The examples establish that AB1 is capable of binding to paired helicalfilaments (PHF) of human Tau (see Example 2.4) and that AB1 was capableof detecting intraneuronal neurofibrillary tangles (NFT), extraneuronalNFT, neuritic plaque-like structures and neurophil threads incryosections of human samples (see Example 3.2). It seems reasonable toassume that this behavior is at least in part mediated by thecomplementarity determining regions (CDRs) of the variable light chainregion (VL) and variable heavy chain region (VH) of AB1.

Against this background, the present disclosure provides for Tau-bindingantibodies or binding fragments thereof comprising the CDRs orspecificity determining residues of the VL region of AB1 (SEQ ID No.: 7)and/or the CDRs of the VH region of AB1 (SEQ ID No.: 8).

The residues in antibody variable domains are conventionally numberedaccording to a system devised by Kabat et al. This system is set forthin Kabat et al., 1987, in Sequences of Proteins of ImmunologicalInterest, US Department of Health and Human Services, NIH, USA(hereafter “Kabat et al. (supra)”). This numbering system is used in thepresent specification except where otherwise indicated.

The Kabat residue designations do not always correspond directly withthe linear numbering of the amino acid residues. The actual linear aminoacid sequence may contain fewer or additional amino acids than in thestrict Kabat numbering corresponding to a shortening of, or insertioninto, a structural component, whether framework or complementaritydetermining region (CDR), of the basic variable domain structure. Thecorrect Kabat numbering of residues may be determined for a givenantibody by alignment of residues of homology in the sequence of theantibody with a “standard” Kabat numbered sequence. However, accordingto Chothia (Chothia, C. and Lesk, A. M. J. Mol. Biol., 196, 901-917(1987)) the loop equivalent to CDR-H1 extends from residue 26 to residue32.

CDR1, CDR2, and CDR3 of VL of AB1 were thus identified to correspond toSEQ ID Nos.: 1, 2, and 53 respectively. CDR1, CDR2, and CDR3 of VH ofAB1 were thus identified to correspond to SEQ ID Nos.: 4, 5, and 48respectively. The effect of amino acid substitutions, additions and/ordeletions to the CDRs can be readily tested by one skilled in the art,for example by using the methods described in the examples. In theoriginally identified CDR3 of VH (CDRH3), namely SEQ ID No.: 48, forexample a potential asparagine deamidation site was identified andmodified by replacing the asparagine residue by either glutamine,alanine, aspartic acid or serine. This lead to sequences SEQ ID No.: 49,50, 51 and 52 respectively for CDRH3. For the sake of brevity the threesequences for CDRH3, namely SEQ ID Nos.: 48, 49, 50, 51 and 52 werecombined as SEQ ID No.: 6. Similarly, in CDR3 of VL (CDRL3) a potentialglutamine deamidation site was identified and modified by replacing thecontiguous glycine with alanine. This lead to sequence SEQ ID NO: 54.For the sake of brevity both sequences for CDRL3, namely SEQ ID NO: 53and 54 were combined as SEQ ID NO: 3.

It will be appreciated that further modifications such as substitutions,additions and/or deletions may be made to the CDRs without substantiallychanging e.g. the binding properties compared to AB1. This may beprimarily achieved by e.g. replacing amino acids in the CDRs for similaramino acids. “Similarity”, as used herein, indicates that, at anyparticular position in the aligned sequences, the amino acid residue isof a similar type between the sequences. For example, leucine may besubstituted for isoleucine or valine. Other amino acids which can oftenbe substituted for one another include but are not limited to:

phenylalanine, tyrosine and tryptophan (amino acids having aromatic sidechains);

lysine, arginine and histidine (amino acids having basic side chains);

aspartate and glutamate (amino acids having acidic side chains);

asparagine and glutamine (amino acids having amide side chains); and

cysteine and methionine (amino acids having sulphur-containing sidechains).

Against this background the disclosure provides in one aspect for anisolated Tau-binding antibody or binding fragment thereof, wherein saidTau-binding antibody or binding fragment thereof comprises

a light chain variable region comprising a CDR1 selected from SEQ IDNo.: 1 or sequences at least 90% identical thereto, a CDR2 selected fromSEQ ID No.: 2 or sequences at least 90% identical thereto, and a CDR3selected from SEQ ID No.: 3 or sequences at least 90% identical thereto;and/or

a heavy chain variable region comprising a CDR1 selected from SEQ IDNo.: 4 or sequences at least 90% identical thereto, a CDR2 selected fromSEQ ID No.: 5 or sequences at least 90% identical thereto, and/or a CDR3selected from SEQ ID No.: 6 or sequences at least 90% identical thereto.

In a further aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof comprises

a light chain comprising a CDR1 selected from SEQ ID No.: 1 or sequencesat least 90% identical thereto, a CDR2 selected from SEQ ID No.: 2 orsequences at least 90% identical thereto, and a CDR3 selected from SEQID No.: 3 or sequences at least 90% identical thereto; and

a heavy chain.

In a further aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof comprises

a light chain; and

a heavy chain variable region comprising a CDR1 selected from SEQ IDNo.: 4 or sequences at least 90% identical thereto, a CDR2 selected fromSEQ ID No.: 5 or sequences at least 90% identical thereto, and/or a CDR3selected from SEQ ID No.: 6 or sequences at least 90% identical thereto.

“Identity”, as used herein, indicates that at any particular position inthe aligned sequences, the amino acid residue is identical between thesequences. Degrees of identity can be readily calculated e.g. using theBLAST™ software available from NCBI (Altschul, S. F. et al., 1990, J.Mol. Biol. 215:403-410; Gish, W & States, D. J. 1993, Nature Genet.3:266-272. Madden, T. L. et al., 1996, Meth. Enzymol. 266:131-141;Altschul, S. F. et al., 1997, Nucleic Acids Res. 25:3389-3402; Zhang, J.k. Madden, T. L. 1997, Genome Res. 7:649-656).

The identity of CDRL1, CDRL2, CDRL3, CDRH1, CDRH2, and CDRH3 to SEQ IDNos.: 1, 2, 3, 4, 5, and 6 respectively may be at least 90%, but mayalso be higher such as at least 95%, 96%, 97%, 98% or 99% with anoptional preference for higher identities. Positions of differentidentity may be selected according to similarity considerations.

In this context the disclosure specifically considers Tau-bindingantibodies or binding fragments thereof comprising a VL with CDRL1,CDRL2, and CDRL3 of SEQ ID Nos.: 1, 2, 3 respectively and a VH withCDRH1, CDRH2, and CDRH3 of SEQ ID Nos: 4, 5, and 6 respectively. Thedisclosure also considers Tau-binding antibodies or binding fragmentsthereof comprising a VL with CDRL1, CDRL2, and CDRL3 of SEQ ID Nos.: 1,2, 53 respectively and a VH with CDRH1, CDRH2, and CDRH3 of SEQ ID Nos:4, 5, and 6 respectively, Tau-binding antibodies or binding fragmentsthereof comprising a VL with CDRL1, CDRL2, and CDRL3 of SEQ ID Nos.: 1,2, 54 respectively and a VH with CDRH1, CDRH2, and CDRH3 of SEQ ID Nos:4, 5, and 6 respectively, Tau-binding antibodies or binding fragmentsthereof comprising a VL with CDRL1, CDRL2, and CDRL3 of SEQ ID Nos.: 1,2, 3 respectively and a VH with CDRH1, CDRH2, and CDRH3 of SEQ ID Nos:4, 5, and 48 respectively, Tau-binding antibodies or binding fragmentsthereof comprising a VL with CDRL1, CDRL2, and CDRL3 of SEQ ID Nos.: 1,2, 3 respectively and a VH with CDRH1, CDRH2, and CDRH3 of SEQ ID Nos:4, 5, and 49 respectively, Tau-binding antibodies or binding fragmentsthereof comprising a VL with CDRL1, CDRL2, and CDRL3 of SEQ ID Nos.: 1,2, 3 respectively and a VH with CDRH1, CDRH2, and CDRH3 of SEQ ID Nos:4, 5, and 50 respectively, Tau-binding antibodies or binding fragmentsthereof comprising a VL with CDRL1, CDRL2, and CDRL3 of SEQ ID Nos.: 1,2, 3 respectively and a VH with CDRH1, CDRH2, and CDRH3 of SEQ ID Nos:4, 5, and 50 respectively, Tau-binding antibodies or binding fragmentsthereof comprising a VL with CDRL1, CDRL2, and CDRL3 of SEQ ID Nos.: 1,2, 3 respectively and a VH with CDRH1, CDRH2, and CDRH3 of SEQ ID Nos:4, 5, and 51 respectively, and Tau-binding antibodies or bindingfragments thereof comprising a VL with CDRL1, CDRL2, and CDRL3 of SEQ IDNos.: 1, 2, 3 respectively and a VH with CDRH1, CDRH2, and CDRH3 of SEQID Nos: 4, 5, and 52 respectively. Tau-binding antibodies or bindingfragments thereof comprising a VL with CDRL1, CDRL2, and CDRL3 of SEQ IDNos.: 1, 2, 53 respectively and a VH with CDRH1, CDRH2, and CDRH3 of SEQID Nos: 4, 5, and 48 respectively, Tau-binding antibodies or bindingfragments thereof comprising a VL with CDRL1, CDRL2, and CDRL3 of SEQ IDNos.: 1, 2, 53 respectively and a VH with CDRH1, CDRH2, and CDRH3 of SEQID Nos: 4, 5, and 49 respectively, Tau-binding antibodies or bindingfragments thereof comprising a VL with CDRL1, CDRL2, and CDRL3 of SEQ IDNos.: 1, 2, 53 respectively and a VH with CDRH1, CDRH2, and CDRH3 of SEQID Nos: 4, 5, and 50 respectively, Tau-binding antibodies or bindingfragments thereof comprising a VL with CDRL1, CDRL2, and CDRL3 of SEQ IDNos.: 1, 2, 53 respectively and a VH with CDRH1, CDRH2, and CDRH3 of SEQID Nos: 4, 5, and 51 respectively, and Tau-binding antibodies or bindingfragments thereof comprising a VL with CDRL1, CDRL2, and CDRL3 of SEQ IDNos.: 1, 2, 53 respectively and a VH with CDRH1, CDRH2, and CDRH3 of SEQID Nos: 4, 5, and 52 respectively; Tau-binding antibodies or bindingfragments thereof comprising a VL with CDRL1, CDRL2, and CDRL3 of SEQ IDNos.: 1, 2, 54 respectively and a VH with CDRH1, CDRH2, and CDRH3 of SEQID Nos: 4, 5, and 48 respectively, Tau-binding antibodies or bindingfragments thereof comprising a VL with CDRL1, CDRL2, and CDRL3 of SEQ IDNos.: 1, 2, 54 respectively and a VH with CDRH1, CDRH2, and CDRH3 of SEQID Nos: 4, 5, and 49 respectively, Tau-binding antibodies or bindingfragments thereof comprising a VL with CDRL1, CDRL2, and CDRL3 of SEQ IDNos.: 1, 2, 54 respectively and a VH with CDRH1, CDRH2, and CDRH3 of SEQID Nos: 4, 5, and 50 respectively, Tau-binding antibodies or bindingfragments thereof comprising a VL with CDRL1, CDRL2, and CDRL3 of SEQ IDNos.: 1, 2, 54 respectively and a VH with CDRH1, CDRH2, and CDRH3 of SEQID Nos: 4, 5, and 51 respectively, and Tau-binding antibodies or bindingfragments thereof comprising a VL with CDRL1, CDRL2, and CDRL3 of SEQ IDNos.: 1, 2, 54 respectively and a VH with CDRH1, CDRH2, and CDRH3 of SEQID Nos: 4, 5, and 52 respectively.

Tau-binding antibodies or binding fragments thereof as contemplated bysaid first aspect may comprise these CDRs embedded in framework regionsof different origin. Thus, the CDRs may be comprised within the originalframework regions of AB1, namely the rabbit VL region of SEQ ID No.: 7and the rabbit VH region of SEQ ID No.: 8. However, the CDRs may also beembedded in framework regions of different species origin such a mice orhuman framework regions. Depending on the origin of framework regionsand constant regions, which can be combined with such framework regions,one may obtain chimeric, murinised, or humanized Tau-binding antibodiesor binding fragments thereof.

Chimeric Tau-binding antibodies or binding fragments thereof willcomprise the CDRs within framework regions of non-human origin combinedwith constant regions from a different species, such as of murine or ofhuman origin. Murinised Tau-binding antibodies or binding fragmentsthereof will comprise the CDRs within framework regions of murine origincombined together with constant regions of murine origin. HumanizedTau-binding antibodies or binding fragments thereof will comprise theCDRs within framework regions of human origin combined together withconstant regions of human origin.

Against this background the disclosure provides in another aspect anisolated Tau-binding antibody or binding fragment thereof, wherein saidTau-binding antibody or binding fragment thereof comprises

a light chain variable region comprising SEQ ID No.: 7 or sequences atleast 80% identical thereto, and/or

a heavy chain variable region comprising SEQ ID No.: 8 or sequences atleast 80% identical thereto.

The identity of VL and VH to SEQ ID Nos.: 7 and 8 respectively may be atleast 80%, but may also be higher such as at least 80%, 85%, 90%, 95%,96%, 97%, 98% or 99% with an optional preference for higher identities.Positions of different identity may be selected according to similarityconsiderations. It will be appreciated that in term of identity theremay be more flexibility for the framework regions vs. the CDRs.

In this context the disclosure specifically considers Tau-bindingantibodies or binding fragments thereof comprising a VL of SEQ ID No.: 7and a VH of SEQ ID No.: 8.

Humanized Tau-binding antibodies or binding fragments thereof areparticularly contemplated by the present disclosure.

To this end the CDRs may be grafted onto human framework regions. Itwill be appreciated that identification of such humanized CDR-graftedTau-binding antibody or binding fragment thereof may be achievedfollowing established approaches of the art. When the CDRs orspecificity determining residues are grafted, any appropriate acceptorhuman variable region framework sequence may be used having regard tothe class/type of the donor antibody from which the CDRs are derived(see, e.g., Boss et al., U.S. Pat. No. 4,816,397; Boss et al., EuropeanPatent No. 0,120,694 B1; Neuberger, M. S. et al., WO 86/01533;Neuberger, M. S. et al., European Patent No. 0,194,276 B1; Winter, U.S.Pat. No. 5,225,539; Winter, European Patent No. 0,239,400 B1; Padlan, E.A. et al., European Patent Application No. 0,519,596 A1).

Also, in a CDR-grafted antibody variable region of the presentinvention, the framework regions need not have exactly the same sequenceas those of the acceptor antibody. CDRs may thus be grafted with orwithout framework changes. Introducing framework changes on the basis ofa comparison between the framework regions of the donor variable regionsand the acceptor framework regions may allow retaining e.g. the affinityof an antibody which otherwise may be reduced as a consequence ofhumanization. For instance, unusual residues may be changed to morefrequently-occurring residues for that acceptor chain class or type.Alternatively, selected residues in the acceptor framework regions maybe changed so that they correspond to the residue found at the sameposition in the donor antibody (see Riechmann et al., 1998, Nature, 332,323-324). Such changes should be kept to the minimum necessary torecover the affinity of the donor antibody. Residues for change may beselected using the protocol outlined by Adair et al. (1991) (Humanisedantibodies. WO91/09967). In a CDR-grafted antibody of the presentinvention, the acceptor heavy and light chains do not necessarily needto be derived from the same antibody and may, if desired, comprisecomposite chains having framework regions derived from different chains.

Examples of human acceptor frameworks which can be used in the presentinvention are KOL, NEWM, REI, EU, TUR, TEI, LAY and POM (Kabat et al.,supra). For example, KOL and NEWM can be used for the heavy chain, REIcan be used for the light chain and EU, LAY and POM can be used for boththe heavy chain and the light chain. Alternatively, human germlinesequences may be used; these are available at:http://vbase.mrc-ce.cam.ac.uk/, or see Worldwide Website: imgt.org). Thepresent disclosure specifically considers to use the human V-regionIGKV1-39 plus JK4 J-region of SEQ ID No.: 44 (IMGT, see WorldwideWebsite: imgt.org/) as an acceptor framework region for the light chainCDRs and the human V-region IGHV4-39 plus JH4 J-region SEQ ID No.: 45(IMGT, see Worldwide Website: imgt.org/) as an acceptor framework regionfor the heavy chain CDRs. In SEQ ID No.: 45, positions 1, 73 and 80 maye.g. be considered for residue changes in the framework regions. Theglutamine residue in position 1 may be changed to glutamate. The valineresidue in position 73 may be changed to lysine. The phenylalanine atposition 80 may be changed to valine. Other positions in SEQ ID No.: 45for residue changes in the framework regions may be positions 39 and/or75. For example, the isoleucine residue in position 39 of SEQ ID No: 45may be changed to valine. The threonine residue in position 75 may bechanged to serine. Positions in SEQ ID No.: 44 for residue changes inthe framework regions may be position 2 and/or 63. For example, theisoleucine residue in position 2 of SEQ ID No.: 44 may be changed tovaline. The serine residue in position 63 of SEQ ID No.: 44 may bechanged to lysine.

Against this background the disclosure provides in another aspect anisolated Tau-binding antibody or binding fragment thereof, wherein saidTau-binding antibody or binding fragment thereof comprises

a light chain variable region comprising SEQ ID No.: 9 or sequences atleast 80% identical thereto, and/or

a heavy chain variable region comprising SEQ ID No.: 10 or sequences atleast 80% identical thereto.

The disclosure further provides in another aspect an isolatedTau-binding antibody or binding fragment thereof, wherein saidTau-binding antibody or binding fragment thereof comprises

a light chain variable region comprising SEQ ID No.: 13 or sequences atleast 80% identical thereto, and/or

a heavy chain variable region comprising SEQ ID No.: 16 or sequences atleast 80% identical thereto.

Such an isolated Tau-binding antibody or binding fragment thereof maycomprise

a light chain variable region comprising SEQ ID No.: 13 or sequences atleast 80% identical thereto, and/or

a heavy chain variable region comprising SEQ ID No.: 14, 15, orsequences at least 80% identical thereto.

Furthermore such an isolated Tau-binding antibody or binding fragmentthereof may comprise a light chain variable region comprising SEQ IDNo.: 11, 12 or sequences at least 80% identical thereto, and/or a heavychain variable region comprising SEQ ID No.: 16 or sequences at least80% identical thereto.

Such an isolated Tau-binding antibody or binding fragment thereof maycomprise

a light chain variable region comprising SEQ ID No.: 11 or sequences atleast 80% identical thereto, and/or

a heavy chain variable region comprising SEQ ID No.: 14, 15 or sequencesat least 80% identical thereto.

Such an isolated Tau-binding antibody or binding fragment thereof maycomprise

a light chain variable region comprising SEQ ID No.: 12 or sequences atleast 80% identical thereto, and/or

a heavy chain variable region comprising SEQ ID No.: 14, 15 or sequencesat least 80% identical thereto.

The identity of VL and VH to SEQ ID Nos.: 13 and 16 respectively may beat least 80%, but may also be higher such as at least 80%, 85%, 90%,95%, 96%, 97%, 98% or 99% with an optional preference for higheridentities. Positions of different identity may be selected according tosimilarity considerations. It will be appreciated that in term ofidentity there may be more flexibility for the framework regions vs. theCDRs.

In this context the application specifically considers Tau-bindingantibodies or binding fragments thereof comprising a VL of SEQ ID No.:11 and a VH of SEQ ID No.: 14, Tau-binding antibodies or bindingfragments thereof comprising a VL of SEQ ID No.: 11 and a VH of SEQ IDNo.: 15, Tau-binding antibodies or binding fragments thereof comprisinga VL of SEQ ID No.: 12 and a VH of SEQ ID No.: 14, and Tau-bindingantibodies or binding fragments thereof comprising a VL of SEQ ID No.:12 and a VH of SEQ ID No.: 15.

Humanized CDR grafted Tau-binding antibodies or binding fragmentsthereof may comprise constant regions of human origin. Depending on theamino acid sequence of the constant region of their heavy chains,antibodies or immunoglobulins are divided into the classes: IgA, IgD,IgE, IgG and IgM, and several of these may be further divided intosubclasses (subtypes), e.g. IgG1, IgG2, IgG3, and IgG4, IgA1, and IgA2.In particular, human IgG constant region domains may be used, especiallyof the IgG1 and IgG3 isotypes when the antibody molecule is intended fortherapeutic uses and antibody effector functions are required.Alternatively, IgG2 and IgG4 isotypes may be used when the antibodymolecule is intended for therapeutic purposes and antibody effectorfunctions are not required. The present disclosure specificallyconsiders humanized antibodies of the IgG1 and IgG4 subtype.

It will be appreciated that sequence amendments of these constant regiondomains may also be used. For example one or more amino acid, such as 1or 2 amino acid substitutions, additions and/or deletions may also bemade to the antibody constant domains without significantly altering theability of the antibody to bind to Tau. IgG4 molecules in which theserine at position 241 has been changed to proline as described in Angalet al., Molecular Immunology, 1993, 30 (I), 105-108 may be used as well.

Antibody effector functions include ADCC and CDC. ADCC refers toantibody-dependent cellular cytotoxicity. In order to determine whetheran antibody is in principle capable of mediating ADDC, ADCC may bemeasured in vitro by e.g. so-called Cr⁵¹, Eu, and S³⁵-release assays. Atarget cell containing the antigen of interest, i.e. Tau may be labeledwith these compounds. After binding of the therapeutic antibody, thecells are washed and effector cells expressing Fc receptors such asFcγRIII are co incubated with the antibody-labeled target cells andlysis of the target cells can be monitored by release of the labels.Another approach uses the so-called aCella TOX™ assay. CDC refers tocomplement-dependent cellular cytotoxicity. In order to determinewhether an antibody is in principle capable of mediating CDC, CDC may bemeasured in vitro as described e.g. in Delobel A et al, Methods MolBiol. (2013); 988:115-43 or Current Protocols in Immunology, Chapter 13Complement (Print ISSN: 1934-3671).

Against this background the disclosure provides in another aspect anisolated Tau-binding antibody or binding fragment thereof, wherein saidTau-binding antibody or binding fragment thereof comprises

a light chain comprising SEQ ID No.: 19 or sequences at least 70%identical thereto, and/or

a heavy chain comprising SEQ ID No.: 22 or sequences at least 70%identical thereto.

Such an isolated Tau-binding antibody or binding fragment thereof maycomprise

a light chain comprising SEQ ID No.: 19 or sequences at least 70%identical thereto, and/or

a heavy chain comprising SEQ ID No.: 20, 21 or sequences at least 80%identical thereto.

Such an isolated Tau-binding antibody or binding fragment thereof maycomprise

a light chain comprising SEQ ID No.: 17, 18 or sequences at least 70%identical thereto, and/or

a heavy chain comprising SEQ ID No.: 22 or sequences at least 80%identical thereto.

Such an isolated Tau-binding antibody or binding fragment thereof maycomprise

a light chain comprising SEQ ID No.: 17, 18 or sequences at least 70%identical thereto, and/or

a heavy chain comprising SEQ ID No.: 20, 21 or sequences at least 80%identical thereto.

The identity of the light chain and heavy chain to SEQ ID Nos.: 19 and22 respectively may be at least 70%, but may also be higher such as atleast 70%, 75%, 80%, 85%, 90%, 95%, 96%, 97%, 98% or 99% with anoptional preference for higher identities. Positions of differentidentity may be selected according to similarity considerations. It willbe appreciated that in terms of identity there may be more flexibilityfor the framework regions vs. the CDRs and even more flexibility for theconstant regions.

In this context the application specifically considers Tau-bindingantibodies or binding fragments thereof comprising a light chain of SEQID No.: 17 and a heavy chain of SEQ ID No.: 20, Tau-binding antibodiesor binding fragments thereof comprising a light chain of SEQ ID No.: 17and a heavy chain of SEQ ID No.: 21, Tau-binding antibodies or bindingfragments thereof comprising a light chain of SEQ ID No.: 18 and a heavychain of SEQ ID No.: 20, and Tau-binding antibodies or binding fragmentsthereof comprising a light chain of SEQ ID No.: 18 and a heavy chain ofSEQ ID No.: 21.

Furthermore, the disclosure provides in another aspect an isolatedTau-binding antibody or binding fragment thereof, wherein saidTau-binding antibody or binding fragment thereof comprises

a light chain comprising SEQ ID No.: 19 or sequences at least 70%identical thereto, and/or

a heavy chain comprising SEQ ID No.: 25 or sequences at least 70%identical thereto.

Such an isolated Tau-binding antibody or binding fragment thereof maycomprise

a light chain comprising SEQ ID No.: 19 or sequences at least 70%identical thereto, and/or

a heavy chain comprising SEQ ID No.: 23 or SEQ ID No.: 24 or sequencesat least 70% identical thereto.

Such an isolated Tau-binding antibody or binding fragment thereof maycomprise a light chain comprising SEQ ID No.: 19 or sequences at least70% identical thereto, and/or

a heavy chain comprising SEQ ID No.: 23 or SEQ ID No.: 24 or sequencesat least 80% identical thereto.

Such an isolated Tau-binding antibody or binding fragment thereof maycomprise

a light chain comprising SEQ ID No.: 17, 18 or sequences at least 70%identical thereto, and/or

a heavy chain comprising SEQ ID No.: 23 or SEQ ID No.: 24 or sequencesat least 80% identical thereto.

In this context the application specifically considers Tau-bindingantibodies or binding fragments thereof comprising a light chain of SEQID No.: 17 and a heavy chain of SEQ ID No.: 23, Tau-binding antibodiesor binding fragments thereof comprising a light chain of SEQ ID No.: 17and a heavy chain of SEQ ID No.: 24, Tau-binding antibodies or bindingfragments thereof comprising a light chain of SEQ ID No.: 18 and a heavychain of SEQ ID No.: 23, and Tau-binding antibodies or binding fragmentsthereof comprising a light chain of SEQ ID No.: 18 and a heavy chain ofSEQ ID No.: 24.

The identity of the light chain and heavy chain to SEQ ID No.: 19 andSEQ ID Nos.: 23 or 24, respectively may be at least 70%, but may also behigher such as at least 70%, 75%, 80%, 85%, 90%, 95%, 96%, 97%, 98% or99% with an optional preference for higher identities. Positions ofdifferent identity may be selected according to similarityconsiderations. It will be appreciated that in terms of identity theremay be more flexibility for the framework regions vs. the CDRs and evenmore flexibility for the constant regions.

Also provided by the present disclosure is a specific region or epitopeof human Tau which is bound by an antibody or binding fragment thereofprovided by the present disclosure, in particular an antibody or bindingfragment thereof comprising any one of CDR-H1 (SEQ ID No.:4), CDR-H2(SEQ ID No.:5), CDR-H3 (SEQ ID No.:6), CDR-L1 (SEQ ID No.:1), CDR-L2(SEQ ID No.:2) or CDR-L3 (SEQ ID No.:3), for example antibodiescomprising the VL of SEQ ID No.: 7 and the VL of SEQ ID No.: 8.

Further provided by the present disclosure is a specific region orepitope of human Tau, in particular a phosphorylated Tau region withinamino acids 197-206 of SEQ ID NO.: 55, which is bound by an antibody orbinding fragment thereof provided in the present disclosure, inparticular an antibody or binding fragment thereof comprising the VL ofSEQ ID No.: 7 and the VH of SEQ ID No.: 8.

The Tau region within amino acids 197 to 206 of SEQ ID No.: 55 comprisesfour possible phosphorylation sites corresponding to serine residues atpositions 198 (S198), 199 (S199), 202 (S202) and a threonine residue atposition 205 (T205).

The term “a phosphorylated Tau region within amino acids 197-206 of SEQID NO.: 55” refers to a Tau region within amino acids 197 to 206 of SEQID No.: 55 comprising at least one phosphorylated residue selected fromS198, S199, S202 and T205. As a skilled artisan would knowphosphorylated residues may also be referred to for example asSer(PO₃H₂) or Thr(PO₃H₂).

Binding of a Tau-binding antibody to this specific region or epitope ofTau can be identified by any suitable epitope mapping method known inthe art in combination with any one of the antibodies provided by thepresent disclosure. Examples of such methods include screening peptidesof varying lengths derived from SEQ ID No.: 55 for binding to theTau-binding antibodies or binding fragments thereof of the presentdisclosure with the smallest fragment that can specifically bind to theantibody containing the sequence of the epitope recognized by theTau-binding antibodies or binding fragments thereof. Given the existenceof different Tau isoforms in the central nervous system, it is to beunderstood that any such isoform may be used in the methods detailedherein. In a specific example the longest isoform of Tau may be used,i.e. isoform 2 as defined in SEQ ID No.: 55. The Tau peptides of SEQ IDNo.: 55 may be produced recombinantly, synthetically or by proteolyticdigestion of the Tau polypeptide. Peptides that bind the antibody can beidentified by, for example, Western Blot or mass spectrometric analysis.In another example, NMR spectroscopy or X-ray crystallography can beused to identify the epitope bound by a Tau-binding antibody or bindingfragment thereof. Once identified, the epitopic fragment which binds anantibody of the present invention can be used, if required, as animmunogen to obtain additional antibodies which bind the same epitope.Furthermore, the epitopic fragment which binds an antibody of thepresent invention can be used to obtain proteins that bind to the sameepitope and, if required, inhibit at least aggregation of Tau, such asprotein or polypeptide compounds comprising more than 10 amino acidsthat are based on protein scaffolds e.g. from lipocalin (“anticalins”),fibronectin (“adnectins”, trinectins), kunitz domains, C-type lectin,transferrin, gamma-crystalline, cysteine-nots, ankyrin repeats(“DARPins”) or protein A, (“affibodies”) as known in the art (Tomlinson,2004; Mosavi et al., 2004; Gill and Damle, 2006; Nilsson and Tolmachev,2007; Binz et al., 2004). Additionally, molecules that bind the sameepitope include further organic molecules including peptides and cyclicpeptides comprising not more than 10 amino acids as well aspeptidomimetics. Peptidomimetics are compounds that are based on theamino acid sequences found at protein-protein interaction sites and areknown in the art (Sillerud and Larson, 2005).

Against this background the disclosure provides in another aspect anisolated Tau-binding antibody or binding fragment thereof, wherein saidTau-binding antibody or binding fragment thereof binds to aphosphorylated Tau region within amino acids 197 to 206 of SEQ ID No.:55.

Such antibodies can be chimeric, murinised, humanized or fully humanmonoclonal antibodies or can be used to obtain chimeric, murinised,humanized or fully human monoclonal antibodies.

In another aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof binds to a phosphorylated Tau region withinamino acids 197 to 206 of SEQ ID No.: 55, wherein said phosphorylatedTau region comprises at least at least one phosphorylated residueselected from S198, S199, S202 and T205.

In another aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof binds to a phosphorylated Tau region withinamino acids 197 to 206 of SEQ ID No.: 55, wherein said phosphorylatedTau region comprises at least one phosphorylated residue selected fromS198, and S199.

In another aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof binds to a phosphorylated Tau region withinamino acids 197 to 206 of SEQ ID No.: 55, wherein said phosphorylatedTau region comprises at least one phosphorylated residue selected fromS202 and T205.

In another aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof binds to a phosphorylated Tau region withinamino acids 197 to 206 of SEQ ID No.: 55, wherein said phosphorylatedTau region comprises at least one phosphorylated residue comprisingS198.

In another aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof binds to a phosphorylated Tau region withinamino acids 197 to 206 of SEQ ID No.: 55, wherein said phosphorylatedTau region comprises at least one phosphorylated residue comprisingS199.

In another aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof binds to a phosphorylated Tau region withinamino acids 197 to 206 of SEQ ID No.: 55, wherein said phosphorylatedTau region comprises at least one phosphorylated residue comprisingS202.

In another aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof binds to a phosphorylated Tau region withinamino acids 197 to 206 of SEQ ID No.: 55, wherein said phosphorylatedTau region comprises at least one phosphorylated residue comprisingT205.

In another aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof binds to a phosphorylated Tau region withinamino acids 197 to 206 of SEQ ID No.: 55, wherein said phosphorylatedTau region comprises at least two phosphorylated residues selected fromS198, S199, S202 and T205.

In another aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof binds to a phosphorylated Tau region withinamino acids 197 to 206 of SEQ ID No.: 55, wherein said phosphorylatedTau region comprises at least two phosphorylated residues comprisingS198 and S199.

In another aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof binds to a phosphorylated Tau region withinamino acids 197 to 206 of SEQ ID No.: 55, wherein said phosphorylatedTau region comprises at least two phosphorylated residues comprisingS199 and S202.

In another aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof binds to a phosphorylated Tau region withinamino acids 197 to 206 of SEQ ID No.: 55, wherein said phosphorylatedTau region comprises at least two phosphorylated residues comprisingS202 and T205.

In another aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof binds to a phosphorylated Tau region withinamino acids 197 to 206 of SEQ ID No.: 55, wherein said phosphorylatedTau region comprises at least two phosphorylated residues comprisingS198 and T205.

In another aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof binds to a phosphorylated Tau region withinamino acids 197 to 206 of SEQ ID No.: 55, wherein said phosphorylatedTau region comprises at least two phosphorylated residues comprisingS198 and S202.

In another aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof binds to a phosphorylated Tau region withinamino acids 197 to 206 of SEQ ID No.: 55, wherein said phosphorylatedTau region comprises at least two phosphorylated residues comprisingS199 and T205.

In another aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof binds to a phosphorylated Tau region withinamino acids 197 to 206 of SEQ ID No.: 55, wherein said phosphorylatedTau region comprises at least three phosphorylated residues selectedfrom S198, S199, S202 and T205.

In another aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof binds to a phosphorylated Tau region withinamino acids 197 to 206 of SEQ ID No.: 55, wherein said phosphorylatedTau region comprises at least three phosphorylated residues comprisingS198 and S199.

In another aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof binds to a phosphorylated Tau region withinamino acids 197 to 206 of SEQ ID No.: 55, wherein said phosphorylatedTau region comprises at least three phosphorylated residues comprisingS199 and S202.

In another aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof binds to a phosphorylated Tau region withinamino acids 197 to 206 of SEQ ID No.: 55, wherein said phosphorylatedTau region comprises at least three phosphorylated residues comprisingS202 and T205.

In another aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof binds to a phosphorylated Tau region withinamino acids 197 to 206 of SEQ ID No.: 55, wherein said phosphorylatedTau region comprises at least three phosphorylated residues comprisingS198 and T205.

In another aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof binds to a phosphorylated Tau region withinamino acids 197 to 206 of SEQ ID No.: 55, wherein said phosphorylatedTau region comprises at least three phosphorylated residues comprisingS198 and S202.

In another aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof binds to a phosphorylated Tau region withinamino acids 197 to 206 of SEQ ID No.: 55, wherein said phosphorylatedTau region comprises at least three phosphorylated residues comprisingS199 and T205.

In another aspect the disclosure provides an isolated Tau-bindingantibody or binding fragment thereof, wherein said Tau-binding antibodyor binding fragment thereof binds to a phosphorylated Tau region withinamino acids 197 to 206 of SEQ ID No.: 55, wherein said phosphorylatedTau region comprises the following four phosphorylated residues S198,S199, S202 and T205.

Such antibodies can be chimeric, murinised, humanized or fully humanmonoclonal antibodies or can be used to obtain chimeric, murinised,humanized or fully human monoclonal antibodies.

In another aspect the present disclosure provides an isolatedneutralizing Tau-binding antibody or binding fragment thereof, whereinsaid neutralizing Tau-binding antibody or binding fragment thereof bindsa phosphorylated Tau region within amino acids 197 to 206 of SEQ ID No.:35.

Such antibodies can be chimeric, murinised, humanized or fully humanmonoclonal antibodies or can be used to obtain chimeric, murinised,humanized or fully human monoclonal antibodies.

In another aspect the present disclosure provides an isolatedTau-binding antibody or binding fragment thereof, wherein saidTau-binding antibody or binding fragment thereof binds to substantiallythe same epitope of Tau as a Tau-binding antibody or binding fragmentthereof described above. Binding to the epitope may be determined asdescribed for epitope mapping using e.g. a Tau-binding antibody orbinding fragment thereof comprising a VL of SEQ ID No.: 7 and a VH ofSEQ ID No.: 8 as reference.

Such antibodies can be chimeric, murinised humanized or fully humanmonoclonal antibodies or can be used to obtain chimeric, murinised,humanized or fully human monoclonal antibodies.

In another aspect the present disclosure provides an isolatedTau-binding antibody or binding fragment thereof, wherein saidTau-binding antibody or binding fragment thereof competes for binding toTau with a Tau-binding antibody described above.

In this context the disclosure specifically contemplates an isolatedTau-binding antibody or binding fragment thereof, wherein saidTau-binding antibody or binding fragment thereof competes for binding toTau with a Tau-binding antibody or binding fragment thereof comprising aVL of SEQ ID No.: 7 and a VH of SEQ ID No.: 8.

Such antibodies can be chimeric, murinised, humanized or fully humanmonoclonal antibodies or can be used to obtain chimeric, murinisedhumanized or fully human monoclonal antibodies.

Competition for binding to Tau can be determined by a reduction inbinding of the antibody or binding fragment thereof to Tau by at leastabout 50%, or at least about 70%, or at least about 80%, or at leastabout 90%, or at least about 95%, or at least about 99% or about 100% inthe presence of the reference antibody or binding fragment thereof whichmay comprise a VL of SEQ ID No.: 7 and a VH of SEQ ID No.: 8, or a VL ofSEQ ID No.: 9 and a VH of SEQ ID No.: 10. Binding may be measured usingsurface Plasmon resonance using BIAcore® equipment, various fluorescencedetection technologies (e.g. Fluorescence correlation spectroscopy,fluorescence cross-correlation, Fluorescence Lifetime measurements etc.)or various types of radioimmunoassays or other assays used to followantibody binding to a target molecule.

The term “Tau-binding antibody or binding fragment thereof” means thatthe antibody or binding fragments thereof binds specifically to Tau byway of its variable regions, i.e. binds the Tau antigen with greateraffinity than other antigens which are not homologues of Tau. The“Tau-binding antibody or binding fragment thereof” binds to Tau b way ofits variable regions with at least twice, at least five times, at least10, 20, 100, 10³, 10⁴, 10⁵ or at least 10⁶ times the affinity than otherantigens which are not homologues of Tau. It will be understood thatTau-binding antibodies and binding fragments thereof may neverthelessalso interact with other proteins (for example, S. aureus protein A orother antibodies in ELISA techniques) through interactions withsequences outside the variable region of the Tau-binding antibodies andbinding fragments thereof. Such latter binding properties which aremediated by sequences outside the variable regions of the Tau-bindingantibodies and binding fragments thereof and in particular by theconstant regions of the Tau-binding antibodies and binding fragmentsthereof are not meant to be encompassed by the term “Tau-bindingantibody or binding fragment thereof”. Screening assays to determinebinding specificity of an antibody are well known and routinelypracticed in the art. Tau-binding antibodies or binding fragmentsthereof may have an equilibrium dissociation constant (K_(D)) for theaffinity of the binding of the antibody (or the binding fragmentthereof) to its antigen in the nanomolar range. Thus the K_(D) may bebelow about 1*10⁻⁶, e.g. about below 5*10⁻⁷ such as about 2*10⁻⁷ orlower and can be measured using e.g. surface plasmon resonance and theBIAcore device as described in the examples.

As mentioned above, the present disclosure provides Tau-bindingantibodies or binding fragments thereof. A full-length antibody includesa constant domain and a variable region. The constant region may notneed to be present in its full length in an antigen binding fragment ofan antibody. It is, however, to be understood that wherever theapplication considers the use of antibodies mediating ADCC and/or CDC, abinding fragment must comprise a constant region of sufficient length tobe still capable of mediating ADCC and/or CDC.

As mentioned above, the present disclosure also refers to humanTau-binding antibodies or binding fragments thereof, which can begenerated as an alternative to humanization. For example, transgenicanimals (e.g., mice) are known in the art that are capable, uponimmunization, of producing a full repertoire of human antibodies in theabsence of production of endogenous murine antibodies. For example, ithas been described that the homozygous deletion of the antibodyheavy-chain joining region (JH) gene in chimeric and germ-line mutantmice results in complete inhibition of endogenous antibody production.Transfer of the human germ-line immunoglobulin gene array in suchgerm-line mutant mice will result in the production of human antibodieswith specificity against a particular antigen upon immunization of thetransgenic animal carrying the human germ-line immunoglobulin genes withsaid antigen. Technologies for producing such transgenic animals andtechnologies for isolating and producing the human antibodies from suchtransgenic animals are known in the art (Lonberg, 2005; Green, 1999;Kellermann and Green, 2002; Nicholson et al., 1999). Alternatively, inthe transgenic animal; e.g. mouse, only the immunoglobulin genes codingfor the variable regions of the mouse antibody are replaced withcorresponding human variable immunoglobulin gene sequences. The mousegermline immunoglobulin genes coding for the antibody constant regionsremain unchanged. In this way, the antibody effector functions in theimmune system of the transgenic mouse and consequently the B celldevelopment are essentially unchanged, which may lead to an improvedantibody response upon antigenic challenge in vivo. Once the genescoding for a particular antibody of interest have been isolated fromsuch transgenic animals the genes coding for the constant regions can bereplaced with human constant region genes in order to obtain a fullyhuman antibody. Other methods for obtaining human antibodies antibodyfragments in vitro are based on display technologies such as phagedisplay or ribosome display technology, wherein recombinant DNAlibraries are used that are either generated at least in partartificially or from immunoglobulin variable (V) domain gene repertoiresof donors. Phage and ribosome display technologies for generating humanantibodies are well known in the art (Winter et al., 1994; Hoogenboom,2002; Kretzschmar and von Ruden, 2002; Groves and Osbourn, 2005; Dufneret al., 2006).

Human antibodies may also be generated from isolated human B cells thatare ex vivo immunized with an antigen of interest and subsequently fusedto generate hybridomas which can then be screened for the optimal humanantibody (Grasso et al., 2004; Li et al., 2006). The term “neutralizingTau-binding antibody” as used herein refers to an antibody that binds toand inhibits at least one biological activity of Tau. In a particularembodiment a “neutralizing Tau-binding antibody” as used herein refersto an antibody that binds and inhibits Tau aggregation in an in vitroassay, such as for example in an in vitro assay such as described inexperiment 3.1 below.

The term ‘antibody’ as used herein generally relates to intact (whole,full-length) antibodies i.e. comprising the elements of two heavy chainsand two light chains. The antibody may comprise further additionalbinding domains, for example as per the molecule DVD-Ig as disclosed inWO 2007/024715, or the so-called (FabFv)2Fc described in WO2011/030107.Thus antibody as employed herein includes bi, tri or tetra-valent fulllength antibodies.

Binding fragments of antibodies include single chain antibodies (i.e. afull length heavy chain and light chain); Fab, modified Fab, Fab′,modified Fab′, F(ab′)₂, Fv, Fab-Fv, Fab-dsFv, Fab-scFv, Fab-scFc,disulphide stabilized Fab-scFv, single domain antibodies (e.g. VH or VLor VHH), scFv, scFv-scFc, dsscFv, dsscFv-scFc, bi, tri or tetra-valentantibodies, Bis-scFv, diabodies, tribodies, triabodies, tetrabodies,domain antibodies (dAbs), such as sdAbs, VHH and VNAR fragments, andepitope-binding fragments of any of the above (see for example Holligerand Hudson, 2005, Nature Biotech. 23(9):1126-1136; Adair and Lawson,2005, Drug Design Reviews—Online 2(3), 209-217). The methods forcreating and manufacturing these antibody fragments are well known inthe art (see for example Verma et al., 1998, Journal of ImmunologicalMethods, 216, 165-181). The Fab-Fv format was first disclosed inWO2009/040562 and the disulphide stabilised versions thereof, theFab-dsFv was first disclosed in WO2010/035012. A disulphide stabilizedform of Fab-scFv was described in WO2013/068571. Antibody formatscomprising scFc formats were first described in WO2008/012543. Otherantibody fragments for use in the present invention include the Fab andFab′ fragments described in International patent applicationsWO2005/003169, WO2005/003170 and WO2005/003171.

Multi-valent antibodies may comprise multiple specificities e.g.bispecific or may be monospecific (see for example WO92/22583 andWO05/113605). One such example of the latter is a Tri-Fab (or TFM) asdescribed in WO92/22583.

In one embodiment there is provided a Fab fragment.

In one embodiment there is provided a Fab′ fragment.

A typical Fab′ molecule comprises a heavy and a light chain pair inwhich the heavy chain comprises a variable region VH, a constant domainCH1 and a natural or modified hinge region and the light chain comprisesa variable region VL and a constant domain CL.

In one embodiment there is provided a dimer of a Fab′ according to thepresent disclosure to create a F(ab′)2 for example dimerisation may bethrough the hinge.

In one embodiment the antibody or binding fragment thereof comprises abinding domain. A binding domain will generally comprise 6 CDRs, threefrom a heavy chain and three from a light chain. In one embodiment theCDRs are in a framework and together form a variable region. Thus in oneembodiment an antibody or binding fragment comprises a binding domainspecific for antigen comprising a light chain variable region and aheavy chain variable region.

It will be appreciated that the affinity of Tau-binding antibodies orbinding fragments thereof provided by the present disclosure may bealtered using suitable methods known in the art. The present disclosuretherefore also relates to variants of the antibody molecules of thepresent invention, which have an improved affinity for Tau. Suchvariants can be obtained by a number of affinity maturation protocolsincluding mutating the CDRs (Yang et al., J. Mol. Biol., 254, 392-403,1995), chain shuffling (Marks et al., Bio/Technology, 10, 779-783,1992), use of mutator strains of E. coli (Low et al., J. Mol. Biol.,250, 359-368, 1996), DNA shuffling (Patten et al., Curr. Opin.Biotechnol., 8, 724-733, 1997), phage display (Thompson et al., J. Mol.Biol., 256, 77-88, 1996) and sexual PCR (Crameri et al., Nature, 391,288-291, 1998). Vaughan et al. (supra) discusses these methods ofaffinity maturation.

The Tau-binding antibodies and binding fragments thereof may thus alsoencompass any of the e.g. foregoing specifically mentioned amino acidsequences of the light or heavy chains with one or more conservativesubstitutions (e.g., 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, or15 conservative substitutions). One can determine the positions of anamino acid sequence that are candidates for conservative substitutions,and one can select synthetic and naturally-occurring amino acids thateffect conservative substitutions for any particular amino acids.Consideration for selecting conservative substitutions include thecontext in which any particular amino acid substitution is made, thehydrophobicity or polarity of the side-chain, the general size of theside chain, and the pK value of side-chains with acidic or basiccharacter under physiological conditions. For example, lysine, arginine,and histidine are often suitably substituted for each other. As is knownin the art, this is because all three amino acids have basic sidechains, whereas the pK value for the side-chains of lysine and arginineare much closer to each other (about 10 and 12) than to histidine (about6). Similarly, glycine, alanine, valine, leucine, and isoleucine areoften suitably substituted for each other, with the proviso that glycineis frequently not suitably substituted for the other members of thegroup. Other groups of amino acids frequently suitably substituted foreach other include, but are not limited to, the group consisting ofglutamic and aspartic acids; the group consisting of phenylalanine,tyrosine, and tryptophan; and the group consisting of serine, threonine,and, optionally, tyrosine.

The Tau-binding antibodies and binding fragments thereof as they arementioned in the context of the present invention may encompassderivatives of the exemplary antibodies, fragments and sequencesdisclosed herein. “Derivatives” include Tau-binding antibodies andbinding fragments thereof, which have been chemically modified. Examplesof chemical modification include covalent attachment of one or morepolymers, such as water soluble polymers, N-linked, or O-linkedcarbohydrates, sugars, phosphates, and/or other such molecules such asdetectable labels such as fluorophores.

If desired a Tau-binding antibody or binding fragment thereof for use inthe present invention may thus be conjugated to one or more effectormolecule(s). It will be appreciated that the effector molecule maycomprise a single effector molecule or two or more such molecules solinked as to form a single moiety that can be attached to the antibodiesof the present invention. Where it is desired to obtain an antibodyfragment linked to an effector molecule, this may be prepared bystandard chemical or recombinant DNA procedures in which the antibodyfragment is linked either directly or via a coupling agent to theeffector molecule. Techniques for conjugating such effector molecules toantibodies are well known in the art (see, Hellstrom et al., ControlledDrug Delivery, 2nd Ed., Robinson et al., eds., 1987, pp. 623-53; Thorpeet al., 1982, Immunol. Rev., 62:119-58 and Dubowchik et al, 1999,Pharmacology and Therapeutics, 83, 67-123). These techniques forconjugating effector molecules may include site specific conjugation ornon-site specific or random conjugation. Particular chemical proceduresinclude, for example, those described in WO 93/06231, WO 92/22583, WO89/00195, WO 89/01476 and WO 03/031581. Alternatively, where theeffector molecule is a protein or polypeptide the linkage may beachieved using recombinant DNA procedures, for example as described inWO 86/01533 and EP0392745. Alternatively, a particular attachment sitefor the effector molecule may be engineered into the antibody or antigenbinding fragment thereof of the invention, for example as described inWO 2008/038024. Furthermore a coupling agent may be used to link theeffector molecule to the antibody or antigen binding fragment thereof ofthe invention, for example as described in WO 2005/113605. It will beunderstood by the skilled artisan that the above recited possibilitiesmay be used by themselves or in combination.

The term effector molecule as used herein includes, for example, drugs,toxins, biologically active proteins, for example enzymes, otherantibody or antibody fragments, synthetic or naturally occurringpolymers, nucleic acids and fragments thereof e.g. DNA, RNA andfragments thereof, radionuclides, particularly radioiodide,radioisotopes, chelated metals, nanoparticles and reporter groups suchas fluorescent compounds or compounds which may be detected by NMR orESR spectroscopy. The effector molecule as used herein also includestherapeutic agents such as chemotherapeutic agents, therapeuticpolypeptides, nanoparticles, liposomes or therapeutic nucleic acids.

Other effector molecules may include chelated radionuclides such as¹¹¹In and ⁹⁰Y, Lu¹⁷⁷, Bismuth²¹³, Californium²⁵², Iridium¹⁹² andTungsten¹⁸⁸/Rhenium¹⁸⁸; or drugs such as but not limited to,alkylphosphocholines, topoisomerase I inhibitors, taxoids and suramin.

Other effector molecules include proteins, peptides and enzymes. Enzymesof interest include, but are not limited to, proteolytic enzymes,hydrolases, lyases, isomerases, transferases. Proteins, polypeptides andpeptides of interest include, but are not limited to, immunoglobulins,toxins such as abrin, ricin A, Pseudomonas exotoxin, or diphtheriatoxin, a protein such as insulin, tumour necrosis factor, α-interferon,β-interferon, nerve growth factor, platelet derived growth factor ortissue plasminogen activator, a thrombotic agent or an anti-angiogenicagent, e.g. angiostatin or endostatin, or, a biological responsemodifier such as a lymphokine, interleukin-1 (IL-I), interleukin-2(IL-2), granulocyte macrophage colony stimulating factor (GM-CSF),granulocyte colony stimulating factor (G-CSF), nerve growth factor (NGF)or other growth factor and immunoglobulins, or other protein orpolypeptide compounds comprising more than 10 amino acids that are basedon protein scaffolds e.g. from lipocalin (“anticalins”), fibronectin(“adnectins”, trinectins), kunitz domains, C-type lectin, transferrin,gamma-crystalline, cysteine-nots, ankyrin repeats (“DARPins”), Fyn SH3domains (“fynomers”) or protein A (“affibodies”) as known in the art(Tomlinson, 2004; Mosavi et al., 2004; Gill and Damle, 2006; Nilsson andTolmachev, 2007; Binz et al., 2004; Silacci et al. 2014).

Other effector molecules include peptides and proteins that enhance orfacilitate blood-brain barrier penetration. For example, WO2010/043047,WO2010/063122, WO2010/063123 or WO2011/041897 describe peptide orpolypeptides that may act as a vector capable of transporting atherapeutic molecule across the blood-brain barrier and method ofconjugating them to a therapeutic molecule. Peptides and proteins ofinterest in the context of blood-brain barrier penetration include, butare not limited to, peptides and proteins that bind to a blood brainbarrier receptor such as transferrin receptor, glucose receptor, insulinreceptor, insulin-like growth factor receptor, low density lipoproteinreceptor-related protein 8, low density lipoprotein receptor-relatedprotein 1 and heparin-binding epidermal growth factor-like growthfactor. Alternatively the effector molecule is an antibody fragment suchas a domain antibody, camelid antibody or shark derived antibody (VNAR)that specifically binds to one of the above blood-brain barrierreceptors.

Other effector molecules may include detectable substances useful forexample in diagnosis. Examples of detectable substances include variousenzymes, prosthetic groups, fluorescent materials, luminescentmaterials, bioluminescent materials, radioactive nuclides, positronemitting metals such as may be used in positron emission tomography orsingle-photon emission computed tomography, and nonradioactiveparamagnetic metal ions. See generally U.S. Pat. No. 4,741,900 for metalions which can be conjugated to antibodies for use as diagnostics.Suitable enzymes include horseradish peroxidase, alkaline phosphatase,beta-galactosidase, or acetylcholinesterase; suitable prosthetic groupsinclude streptavidin, avidin and biotin; suitable fluorescent materialsinclude umbelliferone, fluorescein, fluorescein isothiocyanate,rhodamine, dichlorotriazinylamine fluorescein, dansyl chloride andphycoerythrin; suitable luminescent materials include luminol; suitablebioluminescent materials include luciferase, luciferin, and aequorin;and suitable radioactive nuclides include ¹²⁴I ¹²⁵I, ¹³¹I, ¹¹¹In, ⁹⁹Tc,⁸⁹Zr, ⁹⁰Y, ⁶⁴Cu, ⁶⁸Ga and ¹⁸F. A particular type of effector moleculessuitable as detectable substances useful for diagnosis includeelectron-deficient tetrazines and trans-cyclooctene (TCO) as describedin Wyffels et al. 2014, Nuclear Medicine and biology 41 (2014):513-523,where a Tau-binding antibody of the invention linked to tetrazine may beadministered and allowed to reach maximum uptake and sufficientclearance from non target sites, followed by subsequent administrationof TCO or an optimized TCO analog labeled with a suitable radioactivenuclide, such that the TCO will covalently bind the tetrazine on theTau-binding antibody of the invention, and allow its detection forexample by positron emission tomography or single-photon emissioncomputed tomography.

In one embodiment there is provided a Tau-binding Fab, Fab′, or scFvlinked to a radioactive nuclide or to tetrazine. Linkages to aradioactive nuclide or to tetrazine may be made via attachment throughany available amino acid side-chain or terminal amino acid functionalgroup located in the antibody fragment, for example any free amino,imino, thiol, hydroxyl or carboxyl group. Such amino acids may occurnaturally in the antibody fragment or may be engineered into thefragment using recombinant DNA methods (see for example U.S. Pat. Nos.5,219,996; 5,667,425; WO98/25971, WO2008/038024). In one example theTau-binding antibody or binding fragment thereof of the presentinvention is a modified Fab fragment wherein the modification is theaddition to the C-terminal end of its heavy chain one or more aminoacids to allow the attachment of an effector molecule. Suitably, theadditional amino acids form a modified hinge region containing one ormore cysteine residues to which the effector molecule may be attached.In one embodiment if the radionuclide is a metal ion such as ¹¹¹In,⁹⁹Tc, 89Zr, ⁹⁰Y, ⁶⁴Cu, or ⁶⁸Ga this may be bound by a macrocyclechelator for example as described by Turner et al. (Br. J. Cancer, 1994,70:35-41; Comparative biodistribution of indium-111-labelled macrocyclechimeric B72.3 antibody conjugates in tumour-bearing mice) whereby thelatter is in turn covalently linked to the aforementioned amino acidside-chain or terminal amino acid functional group or groups of theantibody or antibody fragment. In a further embodiment the lattermacrocycle chelate with bound radionuclide may be the effector moleculedescribed in WO05/113605 which is part of a cross linker that links twoor more anti-Tau antibodies or fragments thereof.

In another example the effector molecule may increase the half-life ofthe antibody in vivo, and/or reduce immunogenicity of the antibodyand/or enhance the delivery of an antibody across an epithelial barrierto the immune system. Examples of suitable effector molecules of thistype include polymers, albumin, and albumin binding proteins or albuminbinding compounds such as those described in WO05/117984.

Where such an effector molecule is a polymer it may, in general, be asynthetic or a naturally occurring polymer, for example an optionallysubstituted straight or branched chain polyalkylene, polyalkenylene orpolyoxyalkylene polymer or a branched or unbranched polysaccharide, e.g.a homo- or hetero-polysaccharide.

Specific optional substituents which may be present on theabove-mentioned synthetic polymers include one or more hydroxy, methylor methoxy groups.

Specific examples of synthetic polymers include optionally substitutedstraight or branched chain poly(ethyleneglycol), poly(propyleneglycol)poly(vinylalcohol) or derivatives thereof, especially optionallysubstituted poly(ethyleneglycol) such as methoxypoly(ethyleneglycol) orderivatives thereof.

Specific naturally occurring polymers include lactose, amylose, dextran,glycogen or derivatives thereof.

In one embodiment the effector molecule is albumin or a fragmentthereof, such as human serum albumin or a fragment thereof.

The size of the polymer may be varied as desired, but will generally bein an average molecular weight range from 500 Da to 50000 Da, forexample from 5000 to 40000 Da such as from 20000 to 40000 Da. Thepolymer size may in particular be selected on the basis of the intendeduse of the product for example ability to localize to certain tissuessuch as the brain or extend circulating half-life (for review seeChapman, 2002, Advanced Drug Delivery Reviews, 54, 531-545). Thus, forexample, where the product is intended to leave the circulation andpenetrate tissue.

Suitable polymers include a polyalkylene polymer, such as apoly(ethyleneglycol) or, especially, a methoxypoly(ethyleneglycol) or aderivative thereof, and especially with a molecular weight in the rangefrom about 15000 Da to about 40000 Da.

In one example antibodies for use in the present invention are attachedto poly(ethyleneglycol) (PEG) moieties. In one particular example theantibody is a Tau-binding antibody or binding fragment thereof and thePEG molecules may be attached through any available amino acidside-chain or terminal amino acid functional group located in theantibody fragment, for example any free amino, imino, thiol, hydroxyl orcarboxyl group. Such amino acids may occur naturally in the antibodyfragment or may be engineered into the fragment using recombinant DNAmethods (see for example U.S. Pat. Nos. 5,219,996; 5,667,425;WO98/25971, WO2008/038024). In one example the Tau-binding antibody orbinding fragment thereof of the present invention is a modified Fabfragment wherein the modification is the addition to the C-terminal endof its heavy chain one or more amino acids to allow the attachment of aneffector molecule. Suitably, the additional amino acids form a modifiedhinge region containing one or more cysteine residues to which theeffector molecule may be attached. Multiple sites can be used to attachtwo or more PEG molecules.

Suitably PEG molecules are covalently linked through a thiol group of atleast one cysteine residue located in the antibody fragment. Eachpolymer molecule attached to the modified antibody fragment may becovalently linked to the sulphur atom of a cysteine residue located inthe fragment. The covalent linkage will generally be a disulphide bondor, in particular, a sulphur-carbon bond. Where a thiol group is used asthe point of attachment appropriately activated effector molecules, forexample thiol selective derivatives such as maleimides and cysteinederivatives may be used. An activated polymer may be used as thestarting material in the preparation of polymer-modified antibodyfragments as described above. The activated polymer may be any polymercontaining a thiol reactive group such as an α-halocarboxylic acid orester, e.g. iodoacetamide, an imide, e.g. maleimide, a vinyl sulphone ora disulphide. Such starting materials may be obtained commercially (forexample from Nektar, formerly Shearwater Polymers Inc., Huntsville,Ala., USA) or may be prepared from commercially available startingmaterials using conventional chemical procedures. Particular PEGmolecules include 20K methoxy-PEG-amine (obtainable from Nektar,formerly Shearwater; Rapp Polymere; and SunBio) and M-PEG-SPA(obtainable from Nektar, formerly Shearwater).

In another aspect, the present disclosure provides nucleic acidmolecules comprising nucleic acid sequences encoding for Tau-bindingantibodies and binding fragments thereof, to nucleic acid moleculescomprising nucleic acid sequences encoding for the variable light and/orheavy chains thereof and to nucleic acid molecules comprising nucleicacid sequences encoding for the CDR1, CDR2 and/or CDR3 of the variablelight and/or heavy chains thereof.

By way of example, the VL of AB1 (SEQ ID No.: 7) may be encoded by SEQID No.: 26). The VH of AB1 (SEQ ID No.: 8) may be encoded by SEQ ID No.:27).

The humanized VL of SEQ ID No.: 11 may be encoded by SEQ ID No.: 30. Thehumanized VL of SEQ ID No.: 12 may be encoded by SEQ ID No.: 31. Thehumanized VH of SEQ ID No.: 14 may be encoded by SEQ ID No.: 32 and thehumanized VH of SEQ ID No.: 15 may be encoded by SEQ ID No.: 33.

The humanized light chain of SEQ ID No.: 17 may be encoded by SEQ IDNo.: 34 The humanized light chain of SEQ ID No.: 18 may be encoded bySEQ ID No.: 35 The humanized heavy chain of SEQ ID No.: 20 may beencoded by SEQ ID No.: 36 and the humanized heavy chain of SEQ ID No.:21 may be encoded by SEQ ID No.: 37. The humanized heavy chain of SEQ IDNo.: 23 may be encoded by SEQ ID No.: 38 and the humanized heavy chainof SEQ ID No.: 24 may be encoded by SEQ ID No.: 39.

The Tau-binding antibodies and binding fragments thereof may be encodedby a single nucleic acid (e.g., a single nucleic acid comprisingnucleotide sequences that encode the light and heavy chain polypeptidesof the antibody), or by two or more separate nucleic acids, each ofwhich encode a different part of the antibody or antibody fragment. Inthis regard, the disclosure provides one or more nucleic acids thatencode any of the forgoing antibodies, or binding fragments. The nucleicacid molecules may be DNA, cDNA, RNA and the like.

For example, DNA sequences coding for part or all of the antibody heavyand light chains may be synthesized as desired from the determined DNAsequences or on the basis of the corresponding amino acid sequences. DNAcoding for acceptor framework sequences is widely available to thoseskilled in the art and can be readily synthesized on the basis of theirknown amino acid sequences.

Standard techniques of molecular biology may be used to prepare DNAsequences coding for the antibody molecule of the present invention.Desired DNA sequences may be synthesized completely or in part usingoligonucleotide synthesis techniques. Site-directed mutagenesis andpolymerase chain reaction (PCR) techniques may be used as appropriate.

Preferably, the encoding nucleic acid sequences are operatively linkedto expression control sequences allowing expression in prokaryotic oreukaryotic cells. Expression of said polynucleotide comprisestranscription of the polynucleotide into a translatable mRNA. Regulatoryelements ensuring expression in eukaryotic cells, preferably mammaliancells, are well known to those skilled in the art. They usually compriseregulatory sequences ensuring initiation of transcription and optionallypoly-A signals ensuring termination of transcription and stabilizationof the transcript. Additional regulatory elements may includetranscriptional as well as translational enhancers, and/or naturallyassociated or heterologous promoter regions.

The present disclosure in a further aspect thus provides cloning orexpression vectors comprising such nucleic acid sequences encoding forTau-binding antibodies and binding fragments thereof.

A “vector” is any molecule or composition that has the ability to carrya nucleic acid sequence into a suitable host cell where e.g. synthesisof the encoded polypeptide can take place. Typically and preferably, avector is a nucleic acid that has been engineered, using recombinant DNAtechniques that are known in the art, to incorporate a desired nucleicacid sequence (e.g., a nucleic acid of the invention). Expressionvectors typically contain one or more of the following components (ifthey are not already provided by the nucleic acid molecules): apromoter, one or more enhancer sequences, an origin of replication, atranscriptional termination sequence, a complete intron sequencecontaining a donor and acceptor splice site, a leader sequence forsecretion, a ribosome binding site, a polyadenylation sequence, apolylinker region for inserting the nucleic acid encoding thepolypeptide to be expressed, and a selectable marker element.

Vectors are typically selected to be functional in the host cell inwhich the vector will be used (the vector is compatible with the hostcell machinery such that amplification of the gene and/or expression ofthe gene can occur).

The present disclosure in a further aspect thus provides host cellscomprising cloning or expression vectors as described above and/ornucleic acid sequences encoding for Tau-binding antibodies and bindingfragments thereof as described above.

The host cell can be any type of cell capable of being transformed withthe nucleic acid or vector so as to produce a Tau-binding antibody orbinding fragment thereof encoded thereby. The host cell comprising thenucleic acid or vector can be used to produce the Tau-binding antibodyor binding fragment thereof, or a portion thereof (e.g., a heavy chainsequence, or a light chain sequence encoded by the nucleic acid orvector). After introducing the nucleic acid or vector into the cell, thecell is cultured under conditions suitable for expression of the encodedsequence. The antibody, antigen binding fragment, or portion of theantibody then can be isolated from the cell.

The host cells may be prokaryotic host cells (such as E. coli) oreukaryotic host cells (such as a yeast cell, an insect cell, or avertebrate cell). The host cell, when cultured under appropriateconditions, expresses an antibody or binding fragment thereof which cansubsequently be collected from the culture medium (if the host cellsecretes it into the medium) or directly from the host cell producing it(if it is not secreted). Selection of an appropriate host cell willdepend upon various factors, such as desired expression levels,polypeptide modifications that are desirable or necessary for activity,such as glycosylation or phosphorylation, and ease of folding into abiologically active molecule. Selection of the host cell will depend inpart on whether the antibody or binding fragment thereof is to bepost-transcriptionally modified (e.g., glycosylated and/orphosphorylated). If so, yeast, insect, or mammalian host cells arepreferable.

Suitable mammalian host cells include CHO, myeloma or hybridoma cells.Suitable types of Chinese Hamster Ovary (CHO cells) for use in thepresent invention may include CHO and CHO-K1 cells including dhfr-CHOcells, such as CHO-DG44 cells and CHODXB11 cells and which may be usedwith a DHFR selectable marker or CHOKI-SV cells which may be used with aglutamine synthetase selectable marker. Many are available from theAmerican Type Culture Collection (ATCC), Manassas, Va. Examples includemammalian cells, such as Chinese hamster ovary cells (CHO) (ATCC No.CCL61), human embryonic kidney (HEK) 293 or 293T cells (ATCC No.CRL1573), 3T3 cells (ATCC No. CCL92), or PER.C6 cells. Other cell typesof use in expressing antibodies include lymphocytic cell lines, e.g. NSOmyeloma cells and SP2 cells, COS cells.

Another aspect of the present disclosure provides a process for theproduction of a Tau-binding antibody or binding fragment thereofcomprising culturing a host cell containing e.g. a vector underconditions suitable for leading to expression of a Tau-binding antibodyor binding fragment thereof from e.g. DNA encoding the Tau-bindingantibody or binding fragment thereof, and isolating the antibodymolecule.

The Tau-binding antibody or binding fragment thereof may comprise only aheavy or light chain polypeptide, in which case only a heavy chain orlight chain polypeptide coding sequence needs to be used to transfectthe host cells. For production of products comprising both heavy andlight chains, the cell line may be transfected with two vectors, a firstvector encoding a light chain polypeptide and a second vector encoding aheavy chain polypeptide. Alternatively, a single vector may be used, thevector including sequences encoding light chain and heavy chainpolypeptides.

The Tau-binding antibody or binding fragment thereof antibodies andfragments according to the present disclosure are expressed at goodlevels from host cells. Thus the properties of the antibodies and/orfragments are conducive to commercial processing.

Thus there is provided a process for culturing a host cell andexpressing the Tau-binding antibody or binding fragment thereof,isolating the latter and optionally purifying the same to provide anisolated Tau-binding antibody or binding fragment thereof. In oneembodiment the process further comprises the step of conjugating aneffector molecule to the isolated antibody or fragment, for exampleconjugating to a PEG polymer in particular as described herein.

The Tau-binding antibody or binding fragment thereof can be formulatedin compositions, especially pharmaceutical or diagnostic compositions.Pharmaceutical compositions comprise a therapeutically orprophylactically effective amount of a Tau-binding antibody or bindingfragment thereof in admixture with a suitable carrier, e.g., apharmaceutically acceptable agent. Diagnostic compositions comprise adiagnostically effective amount of a Tau-binding antibody or bindingfragment thereof in admixture with a suitable carrier, e.g., adiagnostically acceptable agent.

Pharmaceutically acceptable agents for use in the present pharmaceuticalcompositions include carriers, excipients, diluents, antioxidants,preservatives, coloring, flavoring and diluting agents, emulsifyingagents, suspending agents, solvents, fillers, bulking agents, buffers,delivery vehicles, tonicity agents, cosolvents, wetting agents,complexing agents, buffering agents, antimicrobials, and surfactants.

The composition can be in liquid form or in a lyophilized orfreeze-dried form and may include one or more lyoprotectants,excipients, surfactants, high molecular weight structural additivesand/or bulking agents (see for example U.S. Pat. Nos. 6,685,940,6,566,329, and 6,372,716).

Compositions can be suitable for parenteral administration. Exemplarycompositions are suitable for injection or infusion into an animal byany route available to the skilled worker, such as intraarticular,subcutaneous, intravenous, intramuscular, intraperitoneal, intracerebral(intraparenchymal), intracerebroventricular, intramuscular, intraocular,intraarterial, or intralesional routes. A parenteral formulationtypically will be a sterile, pyrogen-free, isotonic aqueous solution,optionally containing pharmaceutically acceptable preservatives.

Examples of non-aqueous solvents are propylene glycol, polyethyleneglycol, vegetable oils such as olive oil, and injectable organic esterssuch as ethyl oleate. Aqueous carriers include water, alcoholic/aqueoussolutions, emulsions or suspensions, including saline and bufferedmedia. Parenteral vehicles include sodium chloride solution, Ringers'dextrose, dextrose and sodium chloride, lactated Ringer's, or fixedoils. Intravenous vehicles include fluid and nutrient replenishers,electrolyte replenishers, such as those based on Ringer's dextrose, andthe like. Preservatives and other additives may also be present, suchas, for example, anti-microbials, anti-oxidants, chelating agents, inertgases and the like. See generally, Remington's Pharmaceutical Science,16th Ed., Mack Eds., 1980, which is incorporated herein by reference.

Pharmaceutical compositions described herein can be formulated forcontrolled or sustained delivery in a manner that provides localconcentration of the product (e.g., bolus, depot effect) and/orincreased stability or half-life in a particular local environment. Thecompositions can include the formulation of antibodies, bindingfragments, nucleic acids, or vectors of the invention with particulatepreparations of polymeric compounds such as polylactic acid,polyglycolic acid, etc., as well as agents such as a biodegradablematrix, injectable microspheres, microcapsular particles, microcapsules,bioerodible particle beads, liposomes, and implantable delivery devicesthat provide for the controlled or sustained release of the active agentwhich can then be delivered as a depot injection.

Alternatively or additionally, the compositions can be administeredlocally via implantation into the affected area of a membrane, sponge,or other appropriate material on to which an antibody, binding fragment,nucleic acid, or vector of the invention has been absorbed orencapsulated. Where an implantation device is used, the device can beimplanted into any suitable tissue or organ, and delivery of anantibody, binding fragment, nucleic acid, or vector of the invention canbe directly through the device via bolus, or via continuousadministration, or via catheter using continuous infusion.

A pharmaceutical composition comprising a Tau-binding antibody orbinding fragment thereof can be formulated for inhalation, such as forexample, as a dry powder. Inhalation solutions also can be formulated ina liquefied propellant for aerosol delivery. In yet another formulation,solutions may be nebulized.

One aspect of the present disclosure relates to the use of Tau-bindingantibodies and binding fragments thereof as a therapeutically activeagent in the treatment of diseases.

Another aspect of the present disclosure relates to the use ofTau-binding antibodies and binding fragments thereof in the treatment oftauopathies. Tauopathies which have been described to contain Tauinclusions (Clavaguera et al. Brain Pathology 23 (2013) 342-349) includeAlzheimer disease (AD); Amyotrophic lateralsclerosis/parkinsonism-dementia complex; Argyrophilic grain disease;Chronic traumatic encephalopathy; Corticobasal degeneration; Diffuseneurofibrillary tangles with calcification; Down syndrome; FamilialBritish dementia; Familial Danish dementia; Frontotemporal dementia andparkinsonism linked to chromosome 17 caused by MAPT mutations;Gerstmann-Sträussler-Scheinker disease; Guadeloupean parkinsonism;Myotonic dystrophy; Neurodegeneration with brain iron accumulation;Niemann-Pick disease, type C; Non-Guamanian motor neuron disease withneurofibrillary tangles; Pick disease; Post-encephalitic parkinsonism;Prion protein cerebral amyloid angiopathy; Progressive subcorticalgliosis; Progressive supranuclear palsy (PSP); SLC9A6-related mentalretardation; Subacute sclerosing panencephalitis; Tangle-only dementia;and White matter tauopathy with globular glial inclusions.

Another aspect of the present disclosure thus relates to the use ofTau-binding antibodies and binding fragments thereof in the treatment ofAlzheimer's disease and/or progressive supranuclear palsy.

Correspondingly, the present disclosure also relates to methods oftreating tauopathies, in particular Alzheimer's disease and/orprogressive supranuclear palsy, by administering a therapeuticallyactive amount of a Tau-binding antibody or binding fragment thereof to asubject in need thereof.

The present disclosure also relates to the use of a Tau-binding antibodyor binding fragment thereof in the manufacture of a medicament for thetreatment of tauopathies, in particular Alzheimer's disease and/orprogressive supranuclear palsy.

In another aspect of the present disclosure the Tau-binding antibody orbinding fragment thereof may be used either alone or in combination withother agents in a therapy. For instance, the Tau-binding antibody orbinding fragment thereof may be co-administered with at least oneadditional therapeutic agent. In certain aspects, an additionaltherapeutic agent is a therapeutic agent affective to treat the same ordifferent disorder as the Tau-binding antibody or binding fragmentthereof is being used to treat. Exemplary additional therapeutic agentsinclude, but are not limited to: cholinesterase inhibitors (such asdonepezil, galantamine, rovastigmine, and tacrine), NMDA receptorantagonists (such as memantine), amyloid beta peptide aggregationinhibitors, antioxidants, gamma-secretase modulators, nerve growthfactor (NGF) mimics or NGF gene therapy, PPARy agonists, HMS-CoAreductase inhibitors (statins), ampakines, calcium channel blockers,GABA receptor antagonists, glycogen synthase kinase inhibitors,intravenous immunoglobulin, muscarinic receptor agonists, nicotinicreceptor modulators, active or passive amyloid beta peptideimmunization, phosphodiesterase inhibitors, serotonin receptorantagonists and anti-amyloid beta peptide antibodies or further anti-tauantibodies. Additional exemplary neurological drugs may be selected froma growth hormone or neurotrophic factor; examples include but are notlimited to brain-derived neurotrophic factor (BDNF), nerve growth factor(NGF), neurotrophin-4/5, fibroblast growth factor (FGF)-2 and otherFGFs, neurotrophin (NT)-3, erythropoietin (EPO), hepatocyte growthfactor (HGF), epidermal growth factor (EGF), transforming growth factor(TGF)-al ha, TGF-beta, vascular endothelial growth factor (VEGF),interleukin-1 receptor antagonist (IL-lra), ciliary neurotrophic factor(CNTF), glial-derived neurotrophic factor (GDNF), neurturin,platelet-derived growth factor (PDGF), heregulin, neuregulin, artemin,persephin, interleukins, glial cell line derived neurotrophic factor(GFR), granulocyte-colony stimulating factor (CSF),granulocyte-macrophage-CSF, netrins, cardiotrophin-1, hedgehogs,leukemia inhibitory factor (LIF), midkine, pleiotrophin, bonemorphogenetic proteins (BMPs), netrins, saposins, semaphorins, and stemcell factor (SCF). In certain embodiments, the at least one additionaltherapeutic agent is selected for its ability to mitigate one or moreside effects of the neurological drug. Such combination therapies notedabove encompass combined administration (where two or more therapeuticagents are included in the same or separate formulations), and separateadministration, in which case, administration of the Tau-bindingantibody or binding fragment thereof can occur prior to, simultaneously,and/or following, administration of the additional therapeutic agentand/or adjuvant. Tau-binding antibodies or binding fragments thereof canalso be used in combination with other interventional therapies such as,but not limited to, radiation therapy, behavioral therapy, or othertherapies known in the art and appropriate for the neurological disorderto be treated or prevented. Another aspect of the present disclosurerelates to the use of Tau-binding antibodies and binding fragmentsthereof as a diagnostically active agent.

One aspect of the present disclosure also relates to the use ofTau-binding antibodies and binding fragments thereof in the diagnosis oftauopathies, in particular of Alzheimer's disease and/or progressivesupranuclear palsy.

Such diagnostic testing may preferably be performed on biologicalsamples. A “biological sample” encompasses a variety of sample typesobtained from an individual and can be used in a diagnostic ormonitoring assay. The definition encompasses cerebrospinal fluid, bloodand other liquid samples of biological origin, solid tissue samples suchas a biopsy specimen or tissue cultures or cells derived therefrom andthe progeny thereof. The definition also includes samples that have beenmanipulated in any way after their procurement, such as by treatmentwith reagents, solubilization, or enrichment for certain components,such as polynucleotides. The term “biological sample” encompasses aclinical sample, and also includes cells in culture, cell supernatants,cell lysates, serum, plasma, biological fluid, and tissue samples. Theterm “biological sample” includes urine, saliva, cerebrospinal fluid,blood fractions such as plasma and serum, and the like.

Diagnostic testing may preferably be performed on biological sampleswhich are not in contact with the human or animal body. Such diagnostictesting is also referred to as in vitro testing.

In vitro diagnostic testing may rely on an in vitro method of detectingTau in a biological sample which has been obtained from an individualcomprising the steps of i) contacting the biological sample with aTau-binding antibody or binding fragment thereof as described herein;and ii) detecting binding of the Tau-binding antibody or bindingfragment thereof as described herein to Tau. By comparing the detectedTau level with a suitable control, one can then diagnose the presence orlikely occurrence of a tauopathy such as Alzheimer's disease and/orprogressive supranuclear palsy. Such a detection method can thus be usedto determine whether a subject has, or is at risk of developing, atauopathy including determining the stage (severity) of a tauopathy.

The present disclosure thus provides an in vitro method of diagnosing atauopathy such as Alzheimer's disease and/or progressive supranuclearpalsy in a subject comprising the steps of i) assessing the level orstate of Tau in a biological sample obtained from the subject by using aTau-binding antibody or binding fragment thereof as described herein;and ii) comparing the level or state of Tau to a reference, a standard,or a normal control value that indicates the level or state of Tau innormal control subjects. A significant difference between the leveland/or state of Tau polypeptide in the biological sample and the normalcontrol value indicates that the individual has a tauopathy such asAlzheimer's disease and/or progressive supranuclear palsy.

With respect to these various aspects and embodiments which have beendescribed herein, the present disclosure contemplates inter alia:

1. An isolated Tau-binding antibody or binding fragment thereof, whereinsaid Tau-binding antibody or binding fragment thereof comprises

a light chain variable region comprising a CDR1 selected from SEQ IDNo.: 1 or sequences at least 90% identical thereto, a CDR2 selected fromSEQ ID No.: 2 or sequences at least 90% identical thereto, and a CDR3selected from SEQ ID No.: 3 or sequences at least 90% identical thereto;and/or

a heavy chain variable region comprising a CDR1 selected from SEQ IDNo.: 4 or sequences at least 90% identical thereto, a CDR2 selected fromSEQ ID No.: 5 or sequences at least 90% identical thereto, and/or a CDR3selected from SEQ ID No.: 6 or sequences at least 0% identical thereto.

2. A Tau-binding antibody or binding fragment thereof of embodiment 1,wherein said Tau-binding antibody or binding fragment thereof comprises

a light chain variable region comprising a CDR1 selected from SEQ IDNo.: 1, a CDR2 selected from SEQ ID No.: 2, and a CDR3 selected from SEQID No.: 3; and

a heavy chain variable region comprising a CDR1 selected from SEQ IDNo.: 4, a CDR2 selected from SEQ ID No.: 5, and/or a CDR3 selected fromSEQ ID No.: 6.

3. A Tau-binding antibody or binding fragment thereof of embodiment 1,or 2, wherein X₁ of SEQ ID No.: 3 is A.

4. A Tau-binding antibody or binding fragment thereof of embodiment 1,or 2, wherein X₁ of SEQ ID No.: 3 is G.

5. A Tau-binding antibody or binding fragment thereof of embodiment 1,or 2, wherein X₂ of SEQ ID No.: 6 is A.

6. A Tau-binding antibody or binding fragment thereof of embodiment 1,or 2, wherein X₂ of SEQ ID No.: 6 is Q.

7. A Tau-binding antibody or binding fragment thereof of embodiment 1,or 2, wherein X₂ of SEQ ID No.: 6 is N.

8. A Tau-binding antibody or binding fragment thereof of embodiment 1,or 2, wherein X₂ of SEQ ID No.: 6 is D.

9. A Tau-binding antibody or binding fragment thereof of embodiment 1,or 2, wherein X₂ of SEQ ID No.: 6 is S.

10. A Tau-binding antibody or binding fragment thereof of any ofembodiments 1, 2, 3, 4, 5, 6, 7, 8 or 9, wherein said Tau-bindingantibody or binding fragment thereof is a monoclonal antibody.

11. A Tau-binding antibody or binding fragment thereof of embodiment 10,wherein said Tau-binding antibody or binding fragment thereof is achimeric, humanized or fully human antibody.

12. A Tau-binding antibody or binding fragment thereof of embodiment 11,wherein said Tau-binding antibody or binding fragment thereof is ahumanized antibody of the IgG1 or IgG4 subtype.

13. A Tau-binding antibody or binding fragment thereof of any ofembodiments 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 or 12, wherein saidTau-binding antibody or binding fragment thereof binds to aphosphorylated Tau region within amino acids 197-206 of SEQ ID No.: 55.

14. A Tau-binding antibody or binding fragment thereof of any ofembodiments 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 or 13, wherein saidTau-binding antibody or binding fragment binds to soluble forms of humanTau, paired helical filaments (PHF) of human Tau or to both solubleforms of human Tau and paired helical filaments (PHF) of human Tau.

15. An isolated Tau-binding antibody or binding fragment thereof,wherein said Tau-binding antibody or binding fragment thereof comprises

a light chain variable region comprising SEQ ID No.: 7 or sequences atleast 80% identical thereto, and/or

a heavy chain variable region comprising SEQ ID No.: 8 or sequences atleast 80% identical thereto.

16. A Tau-binding antibody or binding fragment thereof of embodiment 15,wherein said Tau-binding antibody or binding fragment thereof comprises

a light chain variable region comprising SEQ ID No.: 7, and

a heavy chain variable region comprising SEQ ID No.: 8.

17. A Tau-binding antibody or binding fragment thereof of embodiment 15,or 16, wherein X_(i) of SEQ ID No.: 7 is A.

18. A Tau-binding antibody or binding fragment thereof of embodiment 15,or 16, wherein X_(i) of SEQ ID No.: 7 is G.

19. A Tau-binding antibody or binding fragment thereof of embodiment 15,or 16, wherein X₂ of SEQ ID No.: 8 is A.

20. A Tau-binding antibody or binding fragment thereof of embodiment 15,or 16, wherein X₂ of SEQ ID No.: 8 is Q.

21. A Tau-binding antibody or binding fragment thereof of embodiment 15,or 16, wherein X₂ of SEQ ID No.: 8 is N.

22. A Tau-binding antibody or binding fragment thereof of embodiment 15,or 16, wherein X₂ of SEQ ID No.: 8 is D.

23. A Tau-binding antibody or binding fragment thereof of embodiment 15,or 16, wherein X₂ of SEQ ID No.: S.

24. A Tau-binding antibody or binding fragment thereof of any ofembodiments 15, 16, 17, 18, 19, 20, 21, 22 or 23, wherein saidTau-binding antibody or binding fragment thereof is a monoclonalantibody.

25. A Tau-binding antibody or binding fragment thereof of embodiment 24,wherein said Tau-binding antibody or binding fragment thereof is achimeric antibody.

26. A Tau-binding antibody or binding fragment thereof of any ofembodiments 15, 16, 17, 18, 19, 20, 21, 22, 23, 24 or 25, wherein saidTau-binding antibody or binding fragment thereof binds to aphosphorylated Tau region within amino acids 197 to 206 of SEQ ID No.:55.

27. A Tau-binding antibody or binding fragment thereof of any ofembodiments 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 or 26, whereinsaid Tau-binding antibody or binding fragment binds to soluble forms ofhuman Tau, paired helical filaments (PHF) of human tau or to bothsoluble forms of human Tau and paired helical filaments (PHF) of humantau.

28. An isolated Tau-binding antibody or binding fragment thereof,wherein said Tau-binding antibody or binding fragment thereof comprises

a light chain variable region comprising SEQ ID No.: 9 or sequences atleast 80% identical thereto, and/or

a heavy chain variable region comprising SEQ ID No.: 10 or sequences atleast 80% identical thereto.

29. An isolated Tau-binding antibody or binding fragment thereof,wherein said Tau-binding antibody or binding fragment thereof comprises

a light chain variable region comprising SEQ ID No.: 13 or sequences atleast 80% identical thereto, and/or

a heavy chain variable region comprising SEQ ID No.: 16 or sequences atleast 80% identical thereto.

30. A Tau-binding antibody or binding fragment thereof of embodiment 29,wherein said Tau-binding antibody or binding fragment thereof comprises

a light chain variable region comprising SEQ ID No.: 13, and

a heavy chain variable region comprising SEQ ID No.: 16.

31. A Tau-binding antibody or binding fragment thereof of embodiment 29,or 30, wherein X₁ of SEQ ID No.: 13 is A.

32. A Tau-binding antibody or binding fragment thereof of embodiment 29,or 30, wherein X₁ of SEQ ID No.: 13 is G.

33. A Tau-binding antibody or binding fragment thereof of embodiment 29,or 30, wherein X₂ of SEQ ID No.: 16 is A.

34. A Tau-binding antibody or binding fragment thereof of embodiment 29,or 30, wherein X₂ of SEQ ID No.: 16 is Q.

35. A Tau-binding antibody or binding fragment thereof of embodiment 29,or 30, wherein X₂ of SEQ ID No.: 16 is N.

36. A Tau-binding antibody or binding fragment thereof of embodiment 29,or 30, wherein X₂ of SEQ ID No.: 16 is D.

37. A Tau-binding antibody or binding fragment thereof of embodiment 29,or 30, wherein X₂ of SEQ ID No.: 16 is S.

38. A Tau-binding antibody or binding fragment thereof of embodiment 29,wherein the heavy chain variable region comprises SEQ ID No.: 14 or 15.

39. A Tau-binding antibody or binding fragment thereof of embodiment 29,wherein the light chain variable region comprises SEQ ID No.: 11 or 12.

40. A Tau-binding antibody or binding fragment thereof of any ofembodiments 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, or 39, wherein saidTau-binding antibody or binding fragment thereof is a monoclonalantibody.

41. A Tau-binding antibody or binding fragment thereof of embodiment 40,wherein said Tau-binding antibody or binding fragment thereof is ahumanized antibody.

42. A Tau-binding antibody or binding fragment thereof of embodiment 41,wherein said Tau-binding antibody or binding fragment thereof is of theIgG1 or IgG4 subtype.

43. A Tau-binding antibody or binding fragment thereof of any ofembodiments 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41 or 42,wherein said Tau-binding antibody or binding fragment thereof binds to aphosphorylated Tau region within amino acids 197-206 of SEQ ID No.: 55.

44. A Tau-binding antibody or binding fragment thereof of any ofembodiments 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42 or43, wherein said Tau-binding antibody or binding fragment binds tosoluble forms of human Tau, paired helical filaments (PHF) of human Tauor to both soluble forms of human Tau and paired helical filaments (PHF)of human Tau.

45. An isolated Tau-binding antibody or binding fragment thereof,wherein said Tau-binding antibody or binding fragment thereof comprises

a light chain comprising SEQ ID No.: 19 or sequences at least 70%identical thereto, and/or

a heavy chain comprising SEQ ID No.: 22 or sequences at least 70%identical thereto.

46. A Tau-binding antibody or binding fragment thereof of embodiment 45,wherein said Tau-binding antibody or binding fragment thereof comprises

a light chain comprising SEQ ID No.: 19, and

a heavy chain comprising SEQ ID No.: 22.

47. A Tau-binding antibody or binding fragment thereof of embodiment 45,or 46, wherein X₁ of SEQ ID No.: 19 is A.

48. A Tau-binding antibody or binding fragment thereof of embodiment 45,or 46, wherein X₁ of SEQ ID No.: 19 is G.

49. A Tau-binding antibody or binding fragment thereof of embodiment 45,or 46, wherein X₂ of SEQ ID No.: 22 is A.

50. A Tau-binding antibody or binding fragment thereof of embodiment 45,or 46, wherein X₂ of SEQ ID No.: 22 is Q.

51. A Tau-binding antibody or binding fragment thereof of embodiment 45,or 46, wherein X₂ of SEQ ID No.: 22 is N.

52. A Tau-binding antibody or binding fragment thereof of embodiment 45,or 46, wherein X₂ of SEQ ID No.: 22 is D.

53. A Tau-binding antibody or binding fragment thereof of embodiment 45,or 46, wherein X₂ of SEQ ID No.: 22 is S.

54. A Tau-binding antibody or binding fragment thereof of embodiment 45,wherein the heavy chain variable region comprises SEQ ID No.: 14 or 15.

55. A Tau-binding antibody or binding fragment thereof of embodiment 45,wherein the light chain variable region comprises SEQ ID No.: 11 or 12.

56. A Tau-binding antibody or binding fragment thereof of any ofembodiments 45, 46, 47, 48, 49, 50, 51, 52, 53, 54 or 55, wherein saidTau-binding antibody or binding fragment thereof is a monoclonalhumanized antibody.

57. A Tau-binding antibody or binding fragment thereof of embodiment 56,wherein said Tau-binding antibody or binding fragment thereof is of theIgG1 or IgG4 subtype.

58. A Tau-binding antibody or binding fragment thereof of any ofembodiments 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56 or 57,wherein said Tau-binding antibody or binding fragment thereof binds to aphosphorylated Tau region comprising within amino acids 197-206 of SEQID No.: 55.

59. A Tau-binding antibody or binding fragment thereof of any ofembodiments 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57 or 58,wherein said Tau-binding antibody or binding fragment binds to solubleforms of human Tau, paired helical filaments (PHF) of human Tau or toboth soluble forms of human Tau and paired helical filaments (PHF) ofhuman Tau.

60. An isolated Tau-binding antibody or binding fragment thereof,wherein said Tau-binding antibody or binding fragment binds to aphosphorylated Tau region comprising within amino acids 197-206 of SEQID No.: 55.

61. A Tau-binding antibody or binding fragment thereof of embodiment 60,wherein said Tau-binding antibody or binding fragment thereof is amonoclonal antibody.

62. A Tau-binding antibody or binding fragment thereof of embodiment 60or 61, wherein said Tau-binding antibody or binding fragment thereof isa chimeric, humanized or fully human antibody.

63. A Tau-binding antibody or binding fragment thereof of embodiment 62,wherein said Tau-binding antibody or binding fragment thereof is amonoclonal humanized antibody or binding fragment thereof of the IgG1 orIgG4 subtype.

64. A Tau-binding antibody or binding fragment thereof of any ofembodiments 60, 61, 62, or 63, wherein said Tau-binding antibody orbinding fragment binds to soluble forms of human Tau, paired helicalfilaments (PHF) of human Tau or to both soluble forms of human Tau andpaired helical filaments (PHF) of human Tau.

65. An isolated Tau-binding antibody or binding fragment thereof,wherein said Tau-binding antibody or binding fragment thereof competesfor binding to Tau with a Tau-binding antibody or binding fragmentthereof of any of embodiments 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13,14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31,32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49,50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, or 64.

66. A Tau-binding antibody or binding fragment thereof of embodiment 65,wherein said Tau-binding antibody or binding fragment thereof competesfor binding to Tau with a Tau-binding antibody or binding fragmentcomprising

a light chain variable region comprising SEQ ID No.: 11 or 12, and

-   -   a heavy chain variable region comprising SEQ ID No.: 14 or 15.

67. An isolated Tau-binding antibody or binding fragment thereof,wherein said

Tau-binding antibody or binding fragment thereof binds to substantiallythe same epitope of Tau as a Tau-binding antibody or binding fragmentthereof of any of embodiments 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13,14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31,32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49,50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66 or67.

68. A Tau-binding antibody or binding fragment thereof of embodiment 67,wherein said Tau-binding antibody or binding fragment thereof binds tosubstantially the same epitope of Tau as a Tau-binding antibody orbinding fragment a Tau-binding antibody or binding fragment comprising

a light chain variable region comprising SEQ ID No.: 11 or 12, and

-   -   a heavy chain variable region comprising SEQ ID No.: 14 or 15.

69. An isolated Tau-binding antibody or binding fragment thereof of anyof embodiments 65, 66, 67, or 68, wherein said Tau-binding antibody orbinding fragment thereof is a monoclonal antibody.

70. A Tau-binding antibody or binding fragment thereof of embodiment 69,wherein said Tau-binding antibody or binding fragment thereof is achimeric, humanized or fully human antibody.

71. A Tau-binding antibody or binding fragment thereof of embodiment 70,wherein said Tau-binding antibody or binding fragment thereof is ahumanized antibody of the IgG1 or IgG4 subtype.

72. A Tau-binding antibody or binding fragment thereof of any ofembodiments 65, 66, 67, 68, 69, 70, or 71, wherein said Tau-bindingantibody or binding fragment thereof binds to a phosphorylated Tauregion amino acids 197-206 of SEQ ID No.: 55.

73. A Tau-binding antibody or binding fragment thereof of any ofembodiments 65, 66, 67, 68, 69, 70, 71, or 72, wherein said Tau-bindingantibody or binding fragment binds to soluble forms of human Tau, pairedhelical filaments (PHF) of human Tau or to both soluble forms of humanTau and paired helical filaments (PHF) of human Tau.

74. An isolated Tau-binding antibody or binding fragment thereof of anyof embodiments 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16,17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34,35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52,53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70,71, 72 or 73 wherein said Tau-binding antibody or binding fragmentthereof is a Fab, Fab′, a F(ab′)₂, a Fd and a Fv, a scFv, a Fab-Fv,Fab-scFv, Fab-dsFv, Fab-scFc, scFv-scFc, dsscFv, dsscFv-scFc, a diabody,a triabody, a tetrabody, a linear antibody, or a VHH containingantibody.

75. An isolated nucleic acid molecule encoding the light and/or heavychain of a Tau-binding antibody or binding fragment thereof of any ofembodiments 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17,18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35,36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53,54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71,72, 73, or 74.

76. A cloning or expression vector comprising one or more nucleic acidsequences of embodiment 75.

77. A host cell comprising one or more nucleic acid sequences ofembodiment 75 or one or more cloning or expression vectors of embodiment76.

78. A host cell of embodiment 77 which is not a human embryonic stemcell.

79. A method of producing a Tau-binding antibody or binding fragmentthereof of any of embodiments 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13,14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31,32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49,50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63 64, 65, 66, 67,68, 69, 70, 71, 72, 73 or 74 comprising at least the steps of

a) culturing a host cell of embodiment 77 or 78, and

b) isolating said Tau-binding antibody or binding fragment thereof.

80. An isolated Tau-binding antibody or binding fragment thereof of anyof embodiments 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16,17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34,35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52,53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70,71, 72, 73 or 74 for use as a therapeutically active agent.

81. An isolated Tau-binding antibody or binding fragment thereof of anyof embodiments 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16,17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34,35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52,53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70,71, 72, 73 or 74 for use in treating a tauopathy.

82. An isolated Tau-binding antibody or binding fragment thereof for useof embodiment 81, wherein said tauopathy is Alzheimer's disease.

83. An isolated Tau-binding antibody or binding fragment thereof for useof embodiment 81, wherein said tauopathy is progressive supranuclearpalsy.

84. A method of treating a tauopathy comprising the step ofadministering a Tau-binding antibody or binding fragment thereof of anyof embodiments 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16,17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34,35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52,53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70,71, 72, 73 or 74 to a subject in need thereof.

85. A method of embodiment 84, wherein said tauopathy is Alzheimer'sdisease.

86. A method of embodiment 85, wherein said tauopathy is progressivesupranuclear palsy.

87. An isolated Tau-binding antibody or binding fragment thereof of anyof embodiments 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16,17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34,35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52,53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70,71, 72, 73 or 74 for use as a diagnostic agent.

88. An isolated Tau-binding antibody or binding fragment thereof of anyof embodiments 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16,17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34,35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52,53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70,71, 72, 73 or 74 for use in diagnosing a tauopathy.

89. An isolated Tau-binding antibody or binding fragment thereof for useof embodiment 88, wherein said tauopathy is Alzheimer's disease.

90. An isolated Tau-binding antibody or binding fragment thereof for useof embodiment 88, wherein said tauopathy is progressive supranuclearpalsy.

The invention is now described with respect to some examples which arehowever not be construed as limiting.

Experiments

Experiment 1—Generation of Tau-Binding Antibodies

1.1 Tau Peptide Design and Production

Peptides and immunogens were supplied by Peptide Protein Research Ltd.,Bishop's Waltham, U.K., and were synthesized by Fmoc solid phase peptidechemistry according to the method of Atherton and Sheppard. (Ref:Atherton, E.; Sheppard, R. C. (1989). Solid Phase peptide synthesis: apractical approach. Oxford, England: IRL Press). Peptides containingphosphoserine (pSer), phosphothreonine (pThr), 3-nitrotyrosine (nTyr)and N-ε-acetyl lysine (aLys) were synthesised using the Fmoc-protectedprecursors Fmoc-Ser(PO(OBzl)OH)—OH, Fmoc-Thr(PO(OBzl)OH)—OH,Fmoc-Tyr(3-NO₂)—OH and Fmoc-Lys(Ac)—OH.

A peptide was designed and used to produce Tau-binding antibodies thatwould recognize all Tau isoforms that are post-translationally modifiedwith phospho serine (pSer), phospho-threonine (pThr) and/or withnitroso-tyrosine (nTyr); it represents residues 197 to 206 as aligned toTau isoform 2 (SEQ ID NO: 55, Uniprot code: P10636-8, NCBI ref:NP_005901.2):

N-acetyl-nTyr pSer pSer Pro Cys* pSer Pro Gly pThr Pro-Amide (PeptideDesignated T197, and Defined in SEQ ID NO: 56).

N and C peptide termini were capped with acetyl and amide groupsrespectively and cys* signifies that the cysteine side chain thiol groupis the point of conjugation for linkage to carrier protein or biotin forthe preparation of immunogens or assay reagent respectively, as detailedbelow. The assay reagent for monitoring antisera titres was prepared byreacting equal masses of maleiimido-PEG-biotin and peptide. Threedifferent immunogens were prepared by reaction of the peptide with thefollowing carrier proteins that had been substituted with maleimidegroups on ε-amino lysine side chains: keyhole limpet haemocyanin (KLH),bove serum albumin (BSA) and ovalbulmin (OVA).

1.2 Immunization

2 female New Zealand White rabbits (>2 kg) were immunisedsub-cutaneously with 500 μg total peptide mix (T197 & T211) emulsifiedin an equal volume of complete Freund's adjuvant (CFA) by vigorouslymixing with a syringe. Peptides were designed conjugated to KLH, OVA andBSA and were immunised alternately. Rabbits were given 2 boosterinjections at 21 day intervals using incomplete Freund's adjuvant (IFA)with bleeds taken, from the ear, 14 days post immunisation. Terminationoccurred 14 days after the final boost with single cell suspensions ofspleen, bone marrow and peripheral blood mononuclear cells prepared andfrozen in 10% DMSO/FCS at −80° C.

1.3 B Cell Culture

B cell cultures were prepared using a method similar to that describedby Zubler et al. (1985). Briefly, PBMC-derived B cells from immunizedrabbits were cultured at a density of approximately 3000 cells per wellin bar-coded 96-well tissue culture plates with 200 μl/well RPMI 1640medium (Gibco BRL) supplemented with 10% FCS (PAA laboratories ltd), 2%HEPES (Sigma Aldrich), 1% L-Glutamine (Gibco BRL), 1%penicillin/streptomycin solution (Gibco BRL), 0.1% β-mercaptoethanol(Gibco BRL), 3% activated splenocyte culture supernatant andgamma-irradiated mutant EL4 murine thymoma cells (5×10⁴/well) for sevendays at 37° C. in an atmosphere of 5% CO₂. In total, approximately1.2×10⁷ B cells were sampled.

1.4 Primary Screening

The presence of T197 peptide-specific antibodies in B cell culturesupernatants was determined using a homogeneous fluorescence-basedbinding assay using Superavidin™ beads (Bangs Laboratories) coated withbiotinylated T197 peptide as a source of target antigen. Screeninginvolved the transfer of 10 ul of supernatant from barcoded 96-welltissue culture plates into barcoded 384-well black-walled assay platescontaining T197 immobilised on beads (10 ul/well) using a MatrixPlatemate liquid handler. Binding was revealed with a goat anti-rabbitIgG Fcγ-specific Cy-5 conjugate (Jackson). Plates were read on anApplied Biosystems 8200 cellular detection system.

1.5 Secondary Screening

Following primary screening, positive supernatants were consolidated on96-well bar-coded master plates using an Aviso Onyx hit-picking robotand B cells in cell culture plates frozen at −800 C. Master plates werethen screened in an ELISA assay on T197 peptide and also on streptavidinonly. This was done in order to determine peptide specificity for eachwell, and to exclude false positive wells showing bindingnon-specifically to the Superavidin beads. The ELISA assay involvedcapture of biotinylated T197 onto 384-well Maxisorp plates(ThermoScientific/Nunc) coated with streptavidin in a carbonate coatingbuffer (dH₂O+0.16% Na₂CO₃+0.3% NaHCO3). Plates were blocked with 1% w/vPEG/PBS and then incubated with 10 ul/well of B cell culture supernatant(diluted 1:1 with blocking buffer.) Secondary HRP-conjugated goatanti-rabbit IgG fc antibody (Stratech Scientific Ltd/JacksonImmunoResearch) was added to plates, followed by visualization ofbinding with TMB substrate (3,3′,5,5′-Tetramethylbenzidine, from EMDMillipore; 10 ul/well). The optical density was measured at 630 nM usingBioTek Synergy 2 microplate reader. The primary binding assay identified880 hits and following ELISA screening, 406 of those were shown to bindspecifically to T197. B cell supernatants demonstrating specificity tothe T197 were selected for further analysis by Biacore to identify thosewith the best affinity.

1.6 Variable Region Recovery

To allow recovery of antibody variable region genes from a selection ofwells of interest, a deconvolution step had to be performed to enableidentification of the antigen-specific B cells in a given well thatcontained a heterogeneous population of B cells. This was achieved usingthe Fluorescent foci method (Clargo et al., 2014). Briefly,Immunoglobulin-secreting B cells from a positive well were mixed withstreptavidin beads (New England Biolabs) coated with biotinylated T197peptide and a 1:1200 final dilution of a goat anti-rabbit Fcγfragment-specific FITC conjugate (Jackson). After static incubation at37° C. for 1 hour, antigen-specific B cells could be identified due tothe presence of a fluorescent halo surrounding that B cell. A number ofthese individual B cell clones, identified using an Olympus microscope,were then picked with an Eppendorf micromanipulator and deposited into aPCR tube.

Antibody variable region genes were recovered from single cells byreverse transcription (RT)-PCR using heavy and light chain variableregion-specific primers. Two rounds of PCR were performed on an AvisoOnyx liquid handling robot, with the nested 2° PCR incorporatingrestriction sites at the 3′ and 5′ ends allowing cloning of the variableregion into a rabbit IgG (VH) or rabbit kappa (VL) mammalian expressionvector. Anti-T197 antibody genes from 31 different wells weresuccessfully cloned into expression vectors. Heavy and light chainconstructs were co-transfected into HEK-293 cells using Fectin 293(Invitrogen) and recombinant antibody expressed in 125 ml Erlenmeyerflask in a volume of 30 ml. After 5-7 days expression, supernatants wereharvested and purified using affinity chromatography.

Experiment 2—Further Screening of Identified Antibodies

2.1 Tau Production in E. coli

Genes encoding the different Tau isoforms were generated syntheticallyand codon optimised for expression in E. coli. Standard molecularbiology techniques were used to sub-clone into a modified pET32 vectorengineered to produce Tau with an N-terminal 6His-TEV tag.

E. coli BL 21 (DE3) cells were transformed with the above vector, andthe protein was expressed using standard techniques.

E. coli cells were then recovered by centrifugation, lysed and Tauprotein captured from the soluble fraction by affinity chromatographyusing NiNTA (Qiagen). The 6His tag was removed using TEV proteasefollowed by a second NiNTA chromatography step. Purified Tau was bufferexchanged into suitable buffers dependent on application. Samplesgenerated for immunisations had endotoxin removed using Proteus NoEndo™columns (Vivaproducts).

Generation of isotopically labelled Tau for nuclear magnetic resonance(NMR) studies:

-   Protein expression was performed as described above except that    minimal media was used for the incorporation of ¹⁵N, ¹³C and ²H into    the protein. E. coli cell pellets were lysed and Tau protein was    purified using a NiNTA (Qiagen) affinity chromatography step, the    6His tag was removed with TEV protease and Tau protein was then    purified by Gel Filtration using a Superdex 200 unit    (GE-Healthcare).    2.2 Tau Production in HEK293

A genes encoding Tau isoform 2 was generated synthetically using thewild-type DNA sequence. Standard molecular biology techniques were usedto sub-clone it into expression vector pMV-10HisTEV (containing a CMVpromotor) engineered to produce Tau with an N-terminal 10His-TEV tag.

The resulting vector was transfected using the Expi293™ ExpressionSystem (Invitrogen) following manufacturer's protocols. This system usesExpi293F human cells derived from the HEK293 cell line.

Tau protein accumulated in the culture media from where it was recoveredusing the immobilised metal ion affinity chromatography Ni SepharoseExcel (GE Healthcare). The 10His tag was then removed using TEV proteasebefore reapplying to the Ni Sepharose column and collecting cleaved Tauin the flow through. Purified Tau was buffer exchanged into suitablebuffers dependent on application.

2.3 Preparation of PHF Tau Fibrils From Human Brain Samples

Paired helical filament (PHF)-Tau protein was purified from brainsamples from donors with Alzheimer's disease (AD) or progressivesupranuclear palsy (PSP) or frontotemporal dementia (FTD)according tothe protocol published by Ksiezak-Reding and Wall (Neurobiology of Aging15, 11-19, 1994). Fractions 8 (equivalent to crude PHF-Tau beforesucrose gradient centrifugation in this reference) and 11 (equivalent tofraction A2, SDS soluble PHF as described in this reference) which havebeen previously described to be enriched in PHF-Tau were recovered andused for the BIAcore assay and the cellular assay of Experiment 3.

2.4 ELISA Screening

Purified antibody was then subject to further screening by ELISA and byBiacore to confirm activity of the recombinant antibody and to selectthe highest affinity and most specific antibody. The ELISA assay againinvolved capture of biotinylated T197 onto 384-well Maxisorp plates(ThermoScientific/Nunc) coated with streptavidin in carbonate coatingbuffer (dH2O+0.16% Na2CO3+0.3% NaHCO3). Separate plates were also coatedwith different Tau peptides mapping to alternative regions of the Taumolecule to check for specificity of binding only to the T197 sequence.Plates were blocked with 1% w/v PEG/PBS and then incubated with severaldilutions of purified transient supernatant. Secondary HRP-conjugatedgoat anti-rabbit IgG fc antibody (Stratech Scientific Ltd/JacksonImmunoResearch) was added to plates, followed by visualisation ofbinding with TMB substrate (3,3′,5,5′-Tetramethylbenzidine, from EMDMillipore; 10 ul/well). The optical density was measured at 630 nM usingBioTek Synergy 2 microplate reader. Data for the selected antibody, AB1with rabbit VL of SEQ ID No.: 7 and rabbit VH of SEQ ID No.: 8, is shownin FIG. 1. As can be seen AB1 shows highly selective binding to onlyT197 and not to four peptides corresponding to other regions of the Taumolecule:

(SEQ ID No.: 62) T174 N-acetyl-C*K pT P P A P K pT P P amide;(SEQ ID No.: 63) T211 N-acetyl-R pT P pS L P pT P C* amide;(SEQ ID No.: 57) T230 N-acetyl-R pT P P K pS P pS SC* amide; and(SEQ ID No.: 64) T396 N-acetyl-C*pS P V V pS GD pT pS amide;*position of biotin conjugation.2.5 BIAcore Screening

Selected rabbit anti-Tau IgG antibody clones were transiently expressed,purified and analysed using the SPR Biacore T200 platform. Theantibodies were first captured onto a CM5 sensor chip using immobilizedgoat F(ab′)2 anti-rabbit Fc gamma reagent. Flow cells 2, 3 and 4 showedimmobilization levels between 5600-6100 RU while blocked flow cell 1(dextran only) served as a reference. The purified IgGs were diluted to0.5 μg/ml in HBS-EP+ buffer from GE Healthcare and captured on the chipwith a flow rate of 10 μl/min. Each capture step was followed by 180 sanalyte injections with a peptide/streptavidin complex, buffer controlsand the dephosphorylated peptide/streptavidin complex. Peptides weredephosphorylated by using 10 μl of a 100 μM peptide solution in HBS-EP+containing 3 mM EDTA and 1% DMSO, diluting it 1:10 in HBS-N buffer (GEHealthcare) containing 0.3 mM EDTA and saturating the EDTA with 2 μl of0.5M MgCl2. 2 μl of a 1:10 dilution (in HBS-N) of Calf IntestinalAlkaline Phosphatase (NEB, Cat #M0290S) was added and incubated at 37°C. for one hour, then stored at 4° C. The phosphatase reaction wasinhibited by adding 1 μl of 0.5M EDTA to the mixture. The solution wasused for the preparation of the dephosphorylated peptide/streptavidincomplex. For the rabbit antibody with a VL region of SEQ ID No.: 7 andVH of SEQ ID No.: 8, the peptide T230 from the Tau region 230-238 withthe amino acid sequence of SEQ ID No.: 57 was used as a negativecontrol. Data were fitted with a bivalent analyte model.

Table 1 shows affinity values measured for this antibody when bound tothe T197 and

T230 phosphorylated and dephosphorylated peptide/streptavidin complexes.

TABLE 1 Tau peptide Binding (RU) Ka (1/Ms) Kd (1/s) KD (nM) T197 619.2E+05 2.6E−03 3 T197 dephos. 1 No significant binding T230 0 Nosignificant binding T230 dephos. 0 No significant binding

Selected monoclonal Fab fragments (mFab) were prepared from murinisedmAB1 antibody with light chain of SEQ ID No.: 58 and heavy chain of SEQID No.: 59 using the Pierce Ficin cleavage kit (Cat. No. 44980, ThermoScientific) according to the protocol of the manufacturer. Absorption at280 nm was used to determine the concentration of the Fab stocksolutions for the Biacore analysis. An insoluble Tau protein preparationfrom Alzheimer's disease patients (AD-PHF, fraction 11), the HEK-derivedTau isoform-2 monomers (amino acids 1-441), and the isoform-2 monomersexpressed in E. coli were amine immobilized onto the CMS chip, andbinding of anti-Tau mFabs was measured with the Biacore T200 instrument.The buffer HBS-EP from GE Healthcare was used for immobilizations apartfrom the AD-PHF for which 10 mM acetic acid (pH3.0) was used. TheHBS-EP+ buffer was supplemented with 300 mM NaCl and 1.25% CM-Dextran(Sigma) and used as the assay buffer. While flow cell (Fc) 1 was used asa reference, the following RU values were obtained for Fc2-4: 44 RU with5 ug/ml E. coli Tau, 56 RU with 5 ug/m HEK Tau, and 500 RU with a 1:20diluted solution of the AD-PHF material. Two 60 s cycles of 10 mMGlycine (pH1.7) were used for regeneration. Flow rates of 10 ul/min wereused for immobilization and regeneration while a 30 ul/min flow rate wasused for analyte binding. For AD-PHF, multiple manual injections wereapplied to reach 500 RU, including EDC/NHS and EtoA capping. Fivestart-up cycles and 12 cycles per mFab sample or buffer control wereapplied, using 90 uls analyte injections for either 180 s or 300 s fordissociation. 11 1:3 dilutions of a 600 nM solution plus buffer wereused for each mFab.

TABLE 2 Binding of mFab from mAB1 and control antibody 101.4 tomonomeric Tau isoform-2 expressed in E. coli, mammalian HEK293 cells andisolated Tau PHF fibrils from Alzheimer's disease patients. Rmax ka kdKD Sample (RU) (1/Ms) (1/s) (M)* 101.4 E. coli iso-2 No significantbinding (isotype HEK iso-2 No significant binding control) AD-PHF Nosignificant binding mAB1 E. coli iso-2 No significant binding HEK iso-2No significant binding AD-PHF 5 7.96E+04 4.70E−02 5.90E−072.6 Epitope Mapping by BIAcore

Recombinant Tau isoform-2 monomer (amino acids 1-441), expressed andpurified from HEK cells, and insoluble Tau protein in the form of apaired helical filament preparation isolated from Alzheimer's diseasepatient brain (AD-PHF), were amine immobilized onto the CM5 chip using aBiacore 3000 instrument and HBS-EP (GE Healthcare) as running buffer.The former were amine coupled to flow cells 2 and 4 respectivelyfollowing activation of the carboxymethyl dextran surface these andreference flow cells by injection of 70 μl of a fresh mixture of 50 mMN-hydroxysuccimide and 200 mM1-ethyl-3-(3-dimethylaminopropyl)-carbodiimide at a flow rate of 10μl/min. Immobilization of tau monomer was achieved by injecting 160 μlat 50 μg/ml in 10 mM acetate pH 5.0 buffer, whereas AD-PHF wasimmobilized by injecting twenty 160 μl aliquots at 2 μg/ml in 10 mMacetic acid (pH3.0). Test and control flow cell surfaces weredeactivated with a 50 μl pulse of 1 M ethanolamine. HCl pH 8.5.

Epitope mapping was carried out by pre-incubating solutions of aTau-binding humanised antibody having the light chain of SEQ ID NO: 17and the heavy chain of SEQ ID NO: 20 (L17H20) and test peptide or buffercontrols, prepared in running buffer at 200 nM and 5000 nM respectively.These were tested separately in a series of sensorgram cycles at aconstant flow rate of 10 μl/min by injecting 50 μl, over reference, taumonomer and AD-PHF flow cells. Response units of antibody binding wererecorded at report points taken 15 sec after the end of each injectionas the difference between values of test and reference flow cells. Thechip was regenerated at the end of each cycle by two 20 μl injections of1.5 M guanidine in phosphate buffered saline.

TABLE 3 % inhibition Peptide Tau sequence HEK ID 197 198 199 200 201 202203 204 205 206 iso-2 PHF T197 nY pS pS P G pS P G pT P 54 100 T197B Y SS P G S P G T P n.s. n.s. T197C Y pS pS P G pS P G pT P 49 101 T197E nYpS S P G pS P G pT P 52 102 T197F nY pS pS P G S P G pT P 30  36 T197GnY pS pS P G pS P G T P n.s. n.s. T197H nY pS pS P G n.s. n.s. T197I GpS P G pT P 55 101 Key: nY is nitro tyrosine, pS is phospho-serine; pTis phospho-threonine; n.s. not significant at 95% confidence level.

Antibody reactivity to a given test peptide was evident by the level ofpercentage inhibition of antibody binding to either immobilized taumonomer or to AD-PHF relative to that of the average antibody bindingvalue calculated for control cycles.

Test peptides were prepared and analysed based on the peptide containingresidues 196 to 206 of Tau protein (SEQ ID NO: 65), and the role ofpostranslation modification with phosphor serine, phosphor threonineand/or nitroso tyrosine was analyzed as defined in table 3.

Based on this analysis it is concluded that the minimal epitope is thephosphorylated Tau region defined by amino acids 201 to 206 of SEQ IDNO: 55, (corresponding to the motif Gly pSer Pro Gly pThr Pro), and thatthis epitope has an absolute requirement for the presence ofphosphor-Threonine at position 205 of SEQ ID NO: 55, and phospho-Serineat position 202 of SEQ ID NO: 55.

Experiment 3 Further Characterization of Identified Antibodies

3.1 Cellular Assay

Preparation of Crude Soluble and Insoluble Fractions From Tau TransgenicMice to Induce Tau Aggregation

For these experiments transgenic mice expressing human Tau P301S (Allenet al., 2002 J. Neurosci. 22(21):9340-51, and P301L (Lewis et al., 2000Nat Genet. (4):402-5; Götz J, et al., 2001 J Biol Chem. 276(1):529-34)were used.

Crude soluble and insoluble fractions were prepared from the brain ofP301S and P301L Tau transgenic mice by differential centrifugation.Briefly, brain tissues from P301S (spinal cord and brainstem) and P301L(midbrain and brainstem) Tau transgenic mice were homogenized inice-cold TBS (Fisher Scientific) using the hand-held homogenizer PelletPestle Motor (Kontes) in 1.5 ml microcentrifuge tubes on ice. Then,homogenates (H) were centrifuged at 4,000 g for 10 min at 4° C. toremove tissue debris. Resulting supernatants (S0) were centrifuged at20,000 g for 20 min at 4° C. to provide supernatants corresponding tothe crude soluble fraction (51). The remaining pellets (P1) wereresuspended in 1 ml of 1% sarkosyl solution prepared in TBS, incubatedfor 1 h at room temperature, and then centrifuged at 100,000 g for 1 hat 4° C. The supernatants (S2) were discarded. The pellets (P2) werewashed with 5 ml ice-cold TBS, and then resuspended in TBS to providethe crude insoluble fraction (P2′).

Preparation of HEK-293-F Cells Expressing Human Tau With P301S Mutation

HEK-293-F cells (Life Technologies) were transfected with thepcDNA3.1(+) vector expressing human Tau isoform 2 with a P301S mutation,using 293fectin (Life Technologies) according to manufacturer'sinstructions. Aliquots of transfected cells were stored in liquidnitrogen.

Induction of Tau Aggregation

FIG. 2 illustrates the different steps of the cellular aggregation assayused to characterize the activity of Tau therapeutic antibodies. On day1, HEK-293-F cells expressing human Tau isoform 2 with P301S mutation(P301S-tau) were defrosted at 37° C. and diluted in 293 Expressionmedium (Life Technologies) containing 10% fetal bovine serum and 1%Penicillin-Streptomycin (FFBS). Cells were counted using an automaticcell counter (Vi-CELL XR, Beckman Coulter), and then plated inpoly-D-lysine precoated 96-well plates (Greiner Bio-One) at a density of25,000 live cells per well. Cells were maintained at 37° C. in 5% CO₂.The same day, sonicated human insoluble Tau from patients withAlzheimer's disease (AD-PHF, fraction 8) or progressive supranuclearpalsy (PSP-PHF, fraction 8) or frontotemporal dementia (FTD-PHF) orbrain fractions from P301S or P301L transgenic mice brains, (used asseeds to induce Tau aggregation), were incubated with or withoutanti-Tau antibodies in FFBS medium at 4° C. with gentle agitationovernight. AD-PHF, fraction 8 was used at 80 ng/μl and 60 ng/μl for ADand PSP samples, respectively; soluble brain fraction from transgenicmice P301S and P301L were used at 0.1 μg/μl t 1.2 μg/μl, respectively.On day 2, seeds or seed/antibody mixtures were applied to cells for 24h. On day 3, the culture medium was replaced with fresh FFBS mediumcontaining antibody, and cells were maintained in culture for anadditional 24 h. On day 4, Tau aggregation was measured using a Tauaggregation assay kit (Cisbio) based on homogenous time-resolvedfluorescence energy transfer (HTRF), according to manufacturer'sinstructions. Fluorescence was measured with SpectraMax Paradigm(Molecular Devices). Aggregation was reported as percent aggregationrelative to control (−) which corresponds to the maximal aggregationresponse induced by exogenous fibrils or fractions in the absence of theantibody.

The effect of AB1 and other Tau-binding antibodies of the prior art oninduced Tau aggregation were tested. The prior art antibodies wereIPN002 of WO2014/028777A2, PT3 of WO2013/096380A2, mAb2.10.3 ofWO2010/142423A2, and HJ8.5 of WO 2014/008404.

The results of this assay are summarized in Table 3 and FIG. 3.

Table 4 summarizes the potency (IC₅₀) and maximal efficacy at (I_(max)at 300 nM) of AB1 having a murinised VL of SEQ ID NO: 9 and a murinisedVH of SEQ ID NO.: 10 (VL9VH10), of a Tau-binding antibody having thelight chain of SEQ ID No.: 17 and the heavy chain of SEQ ID No.:23(L17H23), a Tau-binding antibody having a the light chain of SEQ ID No.:17 and the heavy chain of SEQ ID No.:24 (L17H24), a Tau-binding antibodyhaving a the light chain of SEQ ID No.: 17 and the heavy chain of SEQ IDNo.:20 (L17H20), a Tau-binding antibody having a the light chain of SEQID No.: 17 and the heavy chain of SEQ ID No.:21 (L17H21), and competitorantibodies against a range of Tau seed from various brain extracts.Whereas FIG. 3 shows the efficacy of a Tau-binding antibody having thelight chain of SEQ ID No.: 17 and the heavy chain of SEQ ID No.:20(L17H20), and of a Tau-binding antibody having a the light chain of SEQID No.: 17 and the heavy chain of SEQ ID No.:21 (L17H21) in a cellularaggregation assay using human Tau pathological fibrils from human PSPpatients.

TABLE 4 Experiment 3.1 Tg mice Tg mice Human AD Human Human (P301S)(P301L) samples PSP FTD mAB IC₅₀/I_(max) IC₅₀/I_(max) IC₅₀/I_(max)samples samples VL9VH10 IC₅₀: 8 nM IC₅₀: 9 nM IC₅₀: 10 nM IC₅₀: ND IC₅₀:1 nM I_(max): 62% I_(max): 81% I_(max): 79% I_(max): 54% I_(max): 81%L17H23 Not tested Not tested Not tested IC₅₀: ND Not tested IgG1I_(max): 49% L17H24 Not tested Not tested Not tested IC₅₀: ND Not testedIgG1 I_(max): 47% L17H20 Not tested Not tested IC₅₀: 2 nM IC₅₀: 42 nMIC₅₀: 1 nM IgG4 I_(max): 85% I_(max): 65% I_(max): 79% L17H21 Not testedNot tested Not tested IC₅₀: 66 nM Not tested IgG4 I_(max): 47% IPN002IC₅₀: ND IC₅₀: 122 nM IC₅₀: ND IC₅₀: 207 nM IC₅₀: ND I_(max): 22%I_(max): 73% I_(max): 19% I_(max): 64% I_(max): 50% PT3 IC₅₀: 350 nMIC₅₀: 26 nM IC₅₀: 32 nM IC₅₀: 47 nM IC₅₀: 1 nM I_(max): 56% I_(max): 69%I_(max): 69% I_(max): 55% I_(max): 80% Mab2.10.3 IC₅₀: ND IC₅₀: ND IC₅₀:ND IC₅₀: ND IC₅₀: ND I_(max): 35% I_(max): 29% I_(max): 16% I_(max):28%(*) I_(max): 30% AT8 Not tested Not tested IC₅₀: ND IC₅₀: ND IC₅₀: ND(MN1020) I_(max): 19% I_(max): 25% I_(max): 36 HJ8.5 IC₅₀: ND Not testedIC₅₀: ND IC₅₀: 73 nM IC₅₀: ND I_(max): 43% I_(max): 46% I_(max): 79%I_(max): 67% ND: Not determined. (*)maximal efficacy at 100 nM

Further experiments were performed in the cellular assay to determinethe activity of AB1 having a murinised VL of SEQ ID NO: 9 and amurinised VH of SEQ ID NO.: 10 (VL9VH10) using Tau seed from P301L(n=2), AD (n=3) and PSP (n=3), providing final IC₅₀ values of 15 nM, 27nM and 70 nM, respectively; and I_(max) values of 79%, 68% and 57%,respectively.

3.2 Histological Analysis

AB1 having a rabbit VL of SEQ ID NO: 7 and a rabbit VH of SEQ ID NO.:8,humanized AB1 having a VL of SEQ ID No.: 11 and VH of SEQ ID No.: 14(VL11VH14) or a VL of SEQ ID No.: 11 and VH of SEQ ID No.: 15 (VL11VH15)and the antibodies IPN002, PT3 and Mab2.10.3 of the prior art wereassayed and optimal concentration determined using cryosections of humanhippocampus from a donor with Alzheimer's disease that had previouslybeen shown to contain pathological Tau structures using AT8immunostaining (such as described in Braak & Braak, 1995, NeurobiolAging; 16(3):271-8, and Porzig et al., 2007 Biochem Biophys Res Commun;358(2):644-9). AB1 and all prior art antibodies exhibited specific andconcentration-dependent immunoreactivity, apart from 101.4 (negativecontrol antibody). From these data a single, optimal concentration ofantibody was selected and used to screen a panel of six human brainsamples. Three samples originated from donors with Alzheimer's diseaseor from very elderly donors that exhibited high levels of Tau pathology(positive Tau pathology detected using AT8 immunostaining), and threefrom donors without Tau pathology (negative Tau pathology detected usingAT8 immunostaining).

AB1, VL11VH14, VL11VH15, PT3 and Mab2.10.3 showed a similar pattern ofimmunostaining in the AT8 positive samples. Specific immunostaining ofneurofibrillary tangles (intraneuronal NFT), cytoplasmic Tau, neuriticplaque-like structures and neuropil threads was observed within thehippocampus and temporal cortex of the positive Tau pathology samples.However much lower immunostaining was detected in the AT8 negativetissues. This result suggests that these antibodies preferentiallyrecognize pathological Tau in comparison to non-pathological Tau.

IPN002 provided a similar signal in both positive and negative Taupathology samples.

3.3 Western Blot

Western blots performed using a chemiluminescent read out: lysatesprepared from AD, PSP humans was loaded onto 10% polyacrylamide gels (20μg protein per lane).

Proteins were separated by SDS-PAGE (sodium dodecyl sulfatePolyacrylamide gel electrophoresis) and electrotransferred on to PVDF(Polyvinylidene fluoride) membrane. Membranes were blocked in 4% BSA(bovine serum albumin (in TBST: 50 mM Tris, 150 mM NaCl, 0.05% Tween 20,pH adjusted with HCl to pH 7.6). Membranes were incubated overnight at4° C. with primary antibody or non-immune IgG control antibody, rinsedin TBST, incubated with secondary antibody for 1 hour (mouseanti-biotin), rinsed in TBST, incubated with tertiary antibody for 1hour (anti-mouse IgG-peroxidase), rinsed in TBST, and developed usingECL (enhanced chemiluminescence).

mAB1 having a murinised VL of SEQ ID No: 9 and a murinised VH of SEQ IDNo.: 10 binds to pathological Tau from samples of human AD, but weaklyto PSP. See FIG. 4.

Experiment 4—Humanization of Identified Antibodies

AB1 with VL of SEQ ID No.: 7 and VH of SEQ ID No.: 8 was humanised bygrafting the CDRs from the rabbit antibody V-region onto human germlineantibody V-region frameworks. In order to recover the activity of theantibody, a number of framework residues from the rabbit V-regions werealso retained in the humanised sequence. These residues were selectedusing the protocol outlined by Adair et al. (1991) (Humanisedantibodies. WO91/09967). Alignments of the rabbit antibody (donor)V-region sequences with the human germline (acceptor) V-region sequencesare shown in FIGS. 5 and 6, together with the designed humanisedsequences. The CDRs grafted from the donor to the acceptor sequence areas defined by Kabat (Kabat et al., 1987), with the exception of CDR-H1where the combined Chothia/Kabat definition is used (see Adair et al.,1991 Humanised antibodies. WO91/09967).

Human V-region IGKV1-39 plus JK4 J-region (IMGT, see Worldwide Website:imgt.org/) was chosen as the acceptor for antibody AB1 light chain CDRs.The light chain framework residues in grafts gL4 and gL9 are all fromthe human germline gene. CDRL3 was mutated in graft gL9 to modify apotential deamidation site. Human V-region IGHV4-39 plus JH4 J-region(IMGT, see Worldwide Website: imgt.org/) was chosen as the acceptor forthe heavy chain CDRs of antibody AB1. In common with many rabbitantibodies, the VH gene of antibody AB1 is shorter than the selectedhuman acceptor. When aligned with the human acceptor sequence, framework1 of the VH region of antibody AB1 lacks the N-terminal residue, whichis retained in the humanised antibody (FIG. 6). Framework 3 of the AB1rabbit VH region also lacks two residues (75 and 76) in the loop betweenbeta sheet strands D and E: in grafts gH41 and gH49 the gap is filledwith the corresponding residues (Lysine 75, K75; Asparagine 76, N76)from the selected human acceptor sequence (FIG. 6). The heavy chainframework residues in grafts gH41 and gH49 are all from the humangermline gene, with the exception of one or more residues from the groupcomprising residues 71 and 78 (Kabat numbering), where the donorresidues Lysine (K71) and Valine (V78) were retained, respectively.Retention of residues K71 and V78 was essential for full potency of thehumanised antibody. The Glutamine residue at position 1 of the humanframework was replaced with Glutamic acid (E1) to afford the expressionand purification of a homogeneous product: the conversion of Glutamineto pyroGlutamate at the N-terminus of antibodies and antibody fragmentsis widely reported. CDRH3 was mutated in grafts gH41 and gH49, to modifya potential deamidation site.

Genes encoding a number of variant heavy and light chain V-regionsequences for each antibody were designed and constructed by anautomated synthesis approach by DNA2.0 Inc. Further variants of heavyand light chain V-regions were created by modifying the VH and VK genesby oligonucleotide-directed mutagenesis, including, in some cases,mutations within CDRs to modify potential deamidation sites. Fortransient expression, the humanised light chain V-region genes werecloned into the UCB human light chain expression vector pMhCK, whichcontains DNA encoding the human Kappa chain constant region (Km3allotype). The humanised heavy chain V-region genes were cloned into theUCB human gamma-4 heavy chain expression vector pMhγ4P FL, whichcontains DNA encoding the human gamma-4 heavy chain constant region withthe hinge stabilising mutation S241P (Angal et al., Mol Immunol. 1993,30(1):105-8). Alternatively, the humanised VH genes were cloned into theUCB gamma-1 heavy chain expression vector pMhγ1FL, which contains DNAencoding the human gamma-1 constant region (G1m17, 1 allotype). In orderto assess the monovalent binding kinetics of the humanised antibodies,the humanised VH genes were also cloned into the UCB human Fab-HISexpression vector pMhFab10HIS, which contains DNA encoding the humangamma-1 CH1-hinge domain with a C-terminal tag of ten Histidineresidues: the histidine tag facilitates purification of the expressedFabs by affinity chromatography. Co-transfection of the resulting heavyand light chain vectors into HEK293 suspension cells was achieved using293 Fectin (12347-019 Invitrogen), and gave expression of the humanised,recombinant antibodies in either the human IgG4P, IgG1 or Fab-HISformats.

The variant humanised antibody chains, and combinations thereof, wereexpressed and assessed for their potency relative to the parentantibody, their biophysical properties and suitability for downstreamprocessing.

For stable expression of the humanized recombinant antibodies inmammalian cells, the humanized light chain V-region gene was joined to aDNA sequence encoding the human C-Kappa constant region (Km3 allotype),to create a contiguous light chain gene. The humanized heavy chain geneswere joined to DNA encoding either the human gamma-4P heavy chainconstant region, or the human gamma-1 heavy chain constant region(G1m17, 1 allotype), to create contiguous heavy chain genes. Heavy andlight chain genes were cloned into a mammalian expression vector.

We claim:
 1. A composition comprising a carrier and an isolatedmonoclonal Tau-binding antibody or binding fragment thereof, whereinsaid Tau-binding antibody or binding fragment thereof comprises: a lightchain variable region comprising SEQ ID NO: 1 (CDR1), SEQ ID NO: 2(CDR2) and SEQ ID NO: 3 (CDR3); and a heavy chain variable regioncomprising SEQ ID NO: 4 (CDR1), SEQ ID NO: 5 (CDR2) and SEQ ID NO: 6(CDR3).
 2. The composition according to claim 1, wherein saidTau-binding antibody or binding fragment thereof comprises: a lightchain variable region comprising SEQ ID NO: 13, and a heavy chainvariable region comprising SEQ ID NO:
 16. 3. The composition accordingto claim 1, wherein the light chain variable region comprises SEQ ID NO:11 or
 12. 4. The composition according to claim 1, wherein the heavychain variable region comprises SEQ ID NO: 14 or
 15. 5. The compositionaccording to claim 1, wherein said Tau-binding antibody or bindingfragment thereof comprises: a light chain comprising SEQ ID NO: 11 or 12and a heavy chain comprising SEQ ID NO: 14 or
 15. 6. The compositionaccording to claim 1, wherein said Tau-binding antibody or bindingfragment thereof is a monoclonal humanized antibody.
 7. The compositionaccording to claim 1, wherein the light chain variable region comprisesSEQ ID NO:
 11. 8. The composition according to claim 1, wherein thelight chain variable region comprises SEQ ID NO:
 12. 9. The compositionaccording to claim 1, wherein the heavy chain variable region comprisesSEQ ID NO:
 14. 10. The composition according to claim 1, wherein theheavy chain variable region comprises SEQ ID NO:
 15. 11. The compositionaccording to claim 1, wherein said Tau-binding antibody or bindingfragment thereof comprises: a light chain comprising SEQ ID NO: 11 and aheavy chain comprising SEQ ID NO:
 14. 12. The composition according toclaim 1, wherein said Tau-binding antibody or binding fragment thereofcomprises: a light chain comprising SEQ ID NO: 11 and a heavy chaincomprising SEQ ID NO:
 15. 13. The composition according to claim 1,wherein said Tau-binding antibody or binding fragment thereof comprises:a light chain comprising SEQ ID NO: 12 and a heavy chain comprising SEQID NO:
 14. 14. The composition according to claim 1, wherein saidTau-binding antibody or binding fragment thereof comprises: a lightchain comprising SEQ ID NO: 12 and a heavy chain comprising SEQ ID NO:15.
 15. A method of treating a tauopathy comprising administering acomposition according to claim 1 to a subject having a tauopathy. 16.The method according to claim 15, wherein said tauopathy is Alzheimer'sdisease or progressive supranuclear palsy.
 17. The method according toclaim 15, said method further comprising the administration of anadditional therapeutic agent.
 18. A method of diagnosing a tauopathycomprising contacting a biological sample with a composition accordingto claim 1 and detecting the binding of said antibody to said Tauprotein.
 19. The method according to claim 18, wherein said tauopathy isAlzheimer's disease or progressive supranuclear palsy.